X-ray of lower spine, 4 or more views at IHC Health Services Inc., DBA Intermountain Primary Children's Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC DI L SPINE AP/LAT/OBL/OR FLEX/EXT

City, UT

See all hospitals reporting CPT 72110 →

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Pricing by billing methodology

Price type

How this price compares nationally

IHC Health Services Inc., DBA Intermountain Primary Children's Hospital’s median price of $219 is 36% above the median hospital's median price ($161), higher than 62% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72110 at IHC Health Services Inc., DBA Intermountain Primary Children's Hospital

Negotiated rates from the hospital’s own file: 8 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.

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1	Molina medicaid professional · fee schedule · outpatient	$24.47	$24.47	$12.24 – $36.69
2	Molina medicare advantage professional · fee schedule · outpatient	$24.47	$24.47	$12.24 – $36.69
3	Molina medicare choice care hmo professional · fee schedule · outpatient	$24.47	$24.47	$12.24 – $36.69
4	Molina medicare complete care hmo snp professional · fee schedule · outpatient	$24.47	$24.47	$12.24 – $36.69
5	UnitedHealthcare medicare advantage professional · fee schedule · outpatient	$24.47	$24.47	$12.24 – $36.69
6	Molina medicaid facility · case rate · outpatient	$60.80	$60.80	$60.80 – $60.80
7	Molina medicare advantage facility · case rate · outpatient	$65.67	$65.67	$65.67 – $65.67
8	Molina medicare choice care hmo facility · case rate · outpatient	$65.67	$65.67	$65.67 – $65.67
9	Molina medicare complete care hmo snp facility · case rate · outpatient	$65.67	$65.67	$65.67 – $65.67
10	Tricare tricare facility · case rate · outpatient	$101.95	$101.95	$101.95 – $101.95
11	UnitedHealthcare medicare advantage facility · case rate · outpatient	$101.95	$101.95	$101.95 – $101.95
12	UnitedHealthcare medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$126.69	$126.69	$126.69 – $126.69
13	Molina medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$185.40	$185.40	$185.40 – $185.40
14	Molina medicare choice care hmo facility · percent of total billed charges · inpatientfrom % of charges	$185.40	$185.40	$185.40 – $185.40
15	Molina medicare complete care hmo snp facility · percent of total billed charges · inpatientfrom % of charges	$185.40	$185.40	$185.40 – $185.40
16	Aetna connected facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
17	Aetna extended facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
18	Aetna standard facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
19	Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
20	Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
21	Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
22	Cigna utah connect/local plus facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
23	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
24	Molina chip facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39
25	Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges	$219.39	$219.39	$219.39 – $219.39

Page 1 of 3 · 55 rates

Last updated: Aug 5, 2026

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See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.