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
Provo, UT
See all hospitals reporting CPT 72100 →Price type
IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital’s median price of $238 is 65% above the median hospital's median price ($144), higher than 71% 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, 42 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 advantage professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 6 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 7 | Regence medadvantage ppo professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $19.08 | $19.08 | $10.57 – $27.59 |
| 9 | Molina medicaid facility · case rate · outpatient | $86.96 | $86.96 | $86.96 – $86.96 |
| 10 | Aetna medicare adv hmo facility · case rate · outpatient | $105.09 | $105.09 | $105.09 – $105.09 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $105.09 | $105.09 | $105.09 – $105.09 |
| 12 | Regence medadvantage ppo facility · case rate · outpatient | $109.30 | $109.30 | $109.30 – $109.30 |
| 13 | Humana medicare choice ppo facility · case rate · outpatient | $110.35 | $110.35 | $110.35 – $110.35 |
| 14 | Aetna medicare adv ppo facility · case rate · outpatient | $115.60 | $115.60 | $115.60 – $115.60 |
| 15 | Molina medicare advantage facility · case rate · outpatient | $115.60 | $115.60 | $115.60 – $115.60 |
| 16 | Molina medicare complete care hmo snp facility · case rate · outpatient | $115.60 | $115.60 | $115.60 – $115.60 |
| 17 | UnitedHealthcare charter ut facility · percent of total billed charges · inpatientfrom % of charges | $296.86 | $296.86 | $296.86 – $296.86 |
| 18 | UnitedHealthcare charter ut facility · percent of total billed charges · outpatientfrom % of charges | $296.86 | $296.86 | $296.86 – $296.86 |
| 19 | Regence blueoption facility · percent of total billed charges · inpatientfrom % of charges | $305.51 | $305.51 | $305.51 – $305.51 |
| 20 | Regence blueoption facility · percent of total billed charges · outpatientfrom % of charges | $305.51 | $305.51 | $305.51 – $305.51 |
| 21 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $311.70 | $311.70 | $311.70 – $311.70 |
| 22 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $311.70 | $311.70 | $311.70 – $311.70 |
| 23 | Regence blueoption facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 24 | Regence fehbp facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
| 25 | Regence traditional facility · fee schedule · outpatient | $318.00 | $318.00 | $318.00 – $318.00 |
Last updated: Aug 5, 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.