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
Logan, UT
See all hospitals reporting CPT 72100 →Price type
IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital’s median price of $318 is 120% above the median hospital's median price ($144), higher than 81% 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, 51 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.
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| # | ||||
|---|---|---|---|---|
| 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 advantage professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 6 | Molina medicare choice care hmo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 7 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 8 | Regence medadvantage ppo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 10 | Molina medicaid facility · case rate · outpatient | $86.64 | $86.64 | $86.64 – $86.64 |
| 11 | Aetna medicare adv hmo facility · case rate · outpatient | $105.09 | $105.09 | $105.09 – $105.09 |
| 12 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $105.09 | $105.09 | $105.09 – $105.09 |
| 13 | Humana medicare choice ppo facility · case rate · outpatient | $110.35 | $110.35 | $110.35 – $110.35 |
| 14 | Regence medadvantage ppo facility · case rate · outpatient | $111.40 | $111.40 | $111.40 – $111.40 |
| 15 | Molina medicare advantage facility · case rate · outpatient | $113.50 | $113.50 | $113.50 – $113.50 |
| 16 | Molina medicare choice care hmo facility · case rate · outpatient | $113.50 | $113.50 | $113.50 – $113.50 |
| 17 | Molina medicare complete care hmo snp facility · case rate · outpatient | $113.50 | $113.50 | $113.50 – $113.50 |
| 18 | Aetna medicare adv ppo facility · case rate · outpatient | $115.60 | $115.60 | $115.60 – $115.60 |
| 19 | Regence blueoption facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 20 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $356.23 | $356.23 | $356.23 – $356.23 |
| 21 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $378.49 | $378.49 | $378.49 – $378.49 |
| 22 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $420.55 | $420.55 | $420.55 – $420.55 |
| 23 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $420.55 | $420.55 | $420.55 – $420.55 |
| 24 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $422.03 | $422.03 | $422.03 – $422.03 |
| 25 | UnitedHealthcare charter facility · percent of total billed charges · inpatientfrom % of charges | $422.03 | $422.03 | $422.03 – $422.03 |
Last updated: Aug 5, 2026
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