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
CT Exam 1
Kansas City, MO
See all hospitals reporting CPT 72128 →Price type
Lakewood Medical Center’s median price of $326 is 3% below the median hospital's median price ($334), higher than 50% 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: 9 payers, 23 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 aetna medicare advantage facility · fee schedule · outpatient | $104.20 | $104.20 | $104.20 – $104.20 |
| 2 | Humana humana medicare advantage facility · fee schedule · outpatient | $104.20 | $104.20 | $104.20 – $104.20 |
| 3 | Medicare medicare facility · fee schedule · outpatient | $104.20 | $104.20 | $104.20 – $104.20 |
| 4 | Oscar oscar exchange facility · fee schedule · outpatient | $104.20 | $104.20 | $104.20 – $104.20 |
| 5 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $104.20 | $104.20 | $104.20 – $104.20 |
| 6 | Ambetter ambetter exchange facility · fee schedule · outpatient | $118.79 | $118.79 | $118.79 – $118.79 |
| 7 | Aetna aetna hmo facility · fee schedule · outpatient | $162.05 | $162.05 | $162.05 – $162.05 |
| 8 | Aetna aetna ppo/exchange facility · fee schedule · outpatient | $162.05 | $162.05 | $162.05 – $162.05 |
| 9 | Blue Cross Blue Shield bcbs blue metro aca facility · fee schedule · outpatient | $202.80 | $202.80 | $202.80 – $202.80 |
| 10 | UnitedHealthcare uhc medicaid facility · fee schedule · outpatient | $203.08 | $203.08 | $203.08 – $203.08 |
| 11 | Cigna cigna commercial facility · fee schedule · outpatient | $224.17 | $224.17 | $224.17 – $224.17 |
| 12 | Blue Cross Blue Shield bcbs blue select exchange facility · fee schedule · outpatient | $253.71 | $253.71 | $253.71 – $253.71 |
| 13 | Blue Cross Blue Shield bcbs blue select plus facility · fee schedule · outpatient | $314.72 | $314.72 | $314.72 – $314.72 |
| 14 | Blue Cross Blue Shield bcbs preferred care blue facility · fee schedule · outpatient | $338.95 | $338.95 | $338.95 – $338.95 |
| 15 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $596.41 | $596.41 | $596.41 – $596.41 |
| 16 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $596.41 | $596.41 | $596.41 – $596.41 |
| 17 | Blue Cross Blue Shield bcbs blue care facility · fee schedule · outpatient | $598.68 | $598.68 | $598.68 – $598.68 |
| 18 | Blue Cross Blue Shield bcbs preferred care facility · percent of total billed charges · inpatientfrom % of charges | $748.37 | $748.37 | $748.37 – $748.37 |
| 19 | UnitedHealthcare united healthcare exchange facility · per diem · outpatient | $776.00 | $776.00 | $776.00 – $776.00 |
| 20 | Blue Cross Blue Shield bcbs freedom network facility · percent of total billed charges · inpatientfrom % of charges | $817.00 | $817.00 | $817.00 – $817.00 |
| 21 | Blue Cross Blue Shield bcbs freedom network facility · percent of total billed charges · outpatientfrom % of charges | $817.00 | $817.00 | $817.00 – $817.00 |
| 22 | Blue Cross Blue Shield bcbs freedom network select facility · percent of total billed charges · outpatientfrom % of charges | $817.00 | $817.00 | $817.00 – $817.00 |
| 23 | UnitedHealthcare united healthcare (hmo/ppo) facility · fee schedule · outpatient | $969.00 | $969.00 | $969.00 – $969.00 |
Last updated: Aug 5, 2026
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