Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC DI LUMBAR SPINE 2 OR 3 VIEWS
Delta, UT
See all hospitals reporting CPT 72100 →Price type
IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital’s median price of $440 is 205% above the median hospital's median price ($144), higher than 91% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 55 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Aetna medicare adv hmo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 3 | Humana medicare choice ppo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 4 | Molina medicaid professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 5 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 6 | Regence medadvantage ppo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 8 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 9 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 10 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 11 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 12 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 13 | Regence medadvantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 14 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $158.32 | $158.32 | $158.32 – $158.32 |
| 15 | Aetna connected facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 16 | Aetna standard facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 17 | Cigna hmo facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 18 | Cigna ppo/epo facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 19 | Regence blueoption facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 20 | UnitedHealthcare charter ut facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 21 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 22 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 23 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $440.34 | $440.34 | $440.34 – $440.34 |
| 24 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $470.02 | $470.02 | $470.02 – $470.02 |
| 25 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $470.02 | $470.02 | $470.02 – $470.02 |
Last updated: Jul 28, 2026
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.