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
XR Spine Lumbosacral 2 or 3 V DR
Fort Wayne, IN
See all hospitals reporting CPT 72100 →Price type
IOM Health System LP’s median price of $109 is 25% below the median hospital's median price ($144), higher than 27% 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: 11 payers, 37 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 | Anthem anthem in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 2 | Caresource care source hhw in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 3 | Caresource caresource in hip facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 4 | Humana humana pathways in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 5 | Medicaid in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $66.34 | $66.34 | $66.34 – $66.34 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $97.96 | $97.96 | $97.96 – $97.96 |
| 9 | Tricare node tricare facility · fee schedule · outpatient | $105.08 | $105.08 | $105.08 – $105.08 |
| 10 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $108.84 | $108.84 | $108.84 – $108.84 |
| 11 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $108.84 | $108.84 | $108.84 – $108.84 |
| 12 | Humana node humana mcr adv facility · fee schedule · outpatient | $108.84 | $108.84 | $108.84 – $108.84 |
| 13 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $21.21 | $110.59 | $9.69 – $433.79 |
| 14 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $21.21 | $110.59 | $9.69 – $433.79 |
| 15 | Anthem anthem in hip facility · fee schedule · outpatient | $110.61 | $110.61 | $110.61 – $110.61 |
| 16 | Optum node united optum va ccn facility · per diem · outpatient | $110.61 | $110.61 | $110.61 – $110.61 |
| 17 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $111.02 | $111.02 | $111.02 – $111.02 |
| 18 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $23.84 | $124.29 | $10.89 – $487.51 |
| 19 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $23.84 | $124.29 | $10.89 – $487.51 |
| 20 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $24.36 | $127.03 | $11.13 – $498.25 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $26.27 | $136.96 | $12.00 – $537.20 |
| 22 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $26.27 | $136.96 | $12.00 – $537.20 |
| 23 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $26.27 | $136.96 | $12.00 – $537.20 |
| 24 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $26.27 | $136.96 | $12.00 – $537.20 |
| 25 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $31.25 | $162.98 | $14.28 – $639.27 |
Last updated: Apr 1, 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.