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
CAT THORACIC SPINE; WO CONTRAST
Bloomington, IN
See all hospitals reporting CPT 72128 →Price type
Indiana University Health Bloomington Inc.’s median price of $725 is 117% above the median hospital's median price ($334), higher than 66% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 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 all managed medicare fee schedule · outpatient | $111.01 | $111.01 | $111.01 – $111.01 |
| 2 | Humana all managed medicare hmo fee schedule · outpatient | $111.01 | $111.01 | $111.01 – $111.01 |
| 3 | UnitedHealthcare all managed medicare fee schedule · outpatient | $111.01 | $111.01 | $111.01 – $111.01 |
| 4 | Humana all managed medicare ppo fee schedule · outpatient | $113.24 | $113.24 | $113.24 – $113.24 |
| 5 | WellCare all managed medicare fee schedule · outpatient | $113.24 | $113.24 | $113.24 – $113.24 |
| 6 | UnitedHealthcare aso fee schedule · outpatient | $149.87 | $149.87 | $149.87 – $149.87 |
| 7 | Caresource all marketplace plans fee schedule · outpatient | $166.52 | $166.52 | $166.52 – $166.52 |
| 8 | Ambetter all hmo marketplace plans fee schedule · outpatient | $183.17 | $183.17 | $183.17 – $183.17 |
| 9 | Caresource all government medicaid hip fee schedule · outpatient | $384.19 | $384.19 | $384.19 – $384.19 |
| 10 | Caresource all managed medicaid fee schedule · outpatient | $384.19 | $384.19 | $384.19 – $384.19 |
| 11 | UnitedHealthcare all managed medicaid fee schedule · outpatient | $384.19 | $384.19 | $384.19 – $384.19 |
| 12 | Aetna hmo - coventry plans fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 13 | Aetna pos - cox medical plans fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 14 | Aetna ppo - in preferred fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 15 | Aetna ppo/pos fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 16 | Cigna hmo fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 17 | Cigna hmo - open access fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 18 | Cigna hmo/pos - arnett hospital plans fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 19 | Cigna ppo fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 20 | Cigna ppo - drg plans fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 21 | Cigna ppo - new business fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 22 | Cigna ppo - non-drg fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 23 | UnitedHealthcare all managed care fee schedule · outpatient | $725.00 | $725.00 | $725.00 – $725.00 |
| 24 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $755.65 | $755.65 | $755.65 – $755.65 |
| 25 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $800.10 | $800.10 | $800.10 – $800.10 |
Last updated: Mar 25, 2026
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