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
SP-LS SPNE 4VPLUS CR
Jefferson City, TN
See all hospitals reporting CPT 72110 →Price type
Jefferson County HMA LLC’s median price of $95 is 41% below the median hospital's median price ($161), higher than 13% of the 2,619 hospitals reporting CPT 72110. 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, 22 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 community plan facility · case rate · outpatient | $42.05 | $42.05 | $42.05 – $42.05 |
| 2 | Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient | $60.86 | $60.86 | $60.86 – $60.86 |
| 3 | Tricare node tricare facility · fee schedule · outpatient | $85.61 | $85.61 | $81.10 – $90.11 |
| 4 | Humana node humana mcr adv facility · fee schedule · outpatient | $88.67 | $88.67 | $84.00 – $93.33 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $88.67 | $88.67 | $84.00 – $93.33 |
| 6 | Optum node united optum va ccn facility · per diem · outpatient | $90.11 | $90.11 | $85.37 – $94.85 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $90.44 | $90.44 | $85.68 – $95.20 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $91.33 | $91.33 | $86.52 – $96.13 |
| 9 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $91.33 | $91.33 | $86.52 – $96.13 |
| 10 | UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient | $93.10 | $93.10 | $88.20 – $98.00 |
| 11 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $93.71 | $93.71 | $88.78 – $98.64 |
| 12 | Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient | $94.33 | $94.33 | $94.33 – $94.33 |
| 13 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $111.03 | $111.03 | $105.18 – $116.87 |
| 14 | UnitedHealthcare uhc hsa facility · fee schedule · outpatient | $127.25 | $127.25 | $127.25 – $127.25 |
| 15 | UnitedHealthcare uhc options ppo facility · fee schedule · outpatient | $127.25 | $127.25 | $127.25 – $127.25 |
| 16 | Cigna cigna all facility · fee schedule · outpatient | $129.87 | $129.87 | $123.03 – $136.70 |
| 17 | Ambetter node ambetter health exchange facility · fee schedule · outpatient | $166.70 | $166.70 | $157.93 – $175.47 |
| 18 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $725.27 | $725.27 | $725.27 – $725.27 |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $892.47 | $892.47 | $892.47 – $892.47 |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $892.47 | $892.47 | $892.47 – $892.47 |
| 21 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $1,130 | $1,130 | $1,130 – $1,130 |
| 22 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1,130 | $1,130 | $1,130 – $1,130 |
Last updated: Apr 1, 2026
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