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 CT THORACIC SPINE W/O CONTRAST
WHEAT RIDGE, CO
See all hospitals reporting CPT 72128 →Price type
Intermountain Front Range Inc. Dba Intermountain Health Lutheran Hospital’s median price of $1.0k is 204% above the median hospital's median price ($334), higher than 76% 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, 95 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 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 2 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 3 | UnitedHealthcare united healthcare mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 4 | UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient | $105.80 | $105.80 | $105.80 – $105.80 |
| 5 | Kaiser kaiser snp facility · case rate · outpatient | $106.87 | $106.87 | $106.87 – $106.87 |
| 6 | Aetna aetna colorado preferred facility · fee schedule · outpatient | $293.23 | $293.23 | $293.23 – $293.23 |
| 7 | Aetna aetna hmo/epo facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 8 | Aetna aetna indemnity facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 9 | Aetna aetna other facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 10 | Aetna aetna pos/qpos facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 11 | Aetna aetna ppo facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 12 | Aetna aetna src facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 13 | Aetna christian brothers emp ben trst facility · fee schedule · outpatient | $319.35 | $319.35 | $319.35 – $319.35 |
| 14 | Kaiser kp select hmo facility · percent of total billed charges · outpatientfrom % of charges | $446.49 | $446.49 | $446.49 – $446.49 |
| 15 | Kaiser kaiser hmo exchange plan facility · percent of total billed charges · outpatientfrom % of charges | $555.09 | $555.09 | $555.09 – $555.09 |
| 16 | Kaiser kaiser out of state facility · percent of total billed charges · outpatientfrom % of charges | $555.09 | $555.09 | $555.09 – $555.09 |
| 17 | Kaiser kaiser permanente hmo facility · percent of total billed charges · outpatientfrom % of charges | $555.09 | $555.09 | $555.09 – $555.09 |
| 18 | Kaiser kaiser self funded facility · percent of total billed charges · outpatientfrom % of charges | $555.09 | $555.09 | $555.09 – $555.09 |
| 19 | Kaiser kaiser perm ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $563.30 | $563.30 | $563.30 – $563.30 |
| 20 | Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges | $603.36 | $603.36 | $603.36 – $603.36 |
| 21 | Cigna cigna co public option facility · percent of total billed charges · outpatientfrom % of charges | $614.22 | $614.22 | $614.22 – $614.22 |
| 22 | Cigna cigna connect exchange facility · percent of total billed charges · outpatientfrom % of charges | $614.22 | $614.22 | $614.22 – $614.22 |
| 23 | Cigna cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $614.22 | $614.22 | $614.22 – $614.22 |
| 24 | Kaiser kp select hmo facility · percent of total billed charges · inpatientfrom % of charges | $711.97 | $711.97 | $711.97 – $711.97 |
| 25 | Anthem bcbs co exchange plan facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
Last updated: Mar 22, 2026
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.