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
CHG RADEX SPINE LUMBOSACRAL 2/3 VIEWS
Jasper, IN
See all hospitals reporting CPT 72100 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $37 is 75% below the median hospital's median price ($144), higher than 4% 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: 8 payers, 21 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 managed medicaid facility · fee schedule · outpatient | $17.01 | $17.01 | $17.01 – $17.01 |
| 2 | Anthem managed medicaid professional · fee schedule · both | $21.33 | $19.24 | $8.64 – $25.65 |
| 3 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $21.53 | $21.53 | $21.53 – $21.53 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $35.76 | $27.16 | $9.96 – $35.76 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $35.76 | $27.16 | $9.96 – $35.76 |
| 6 | Caresource medicare advantage professional · fee schedule · both | $35.76 | $27.16 | $9.96 – $35.76 |
| 7 | Humana medicare advantage professional · fee schedule · both | $35.76 | $27.16 | $9.96 – $35.76 |
| 8 | Tricare government professional · fee schedule · both | $35.76 | $27.16 | $9.96 – $35.76 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $37.28 | $28.72 | $11.61 – $37.28 |
| 10 | Anthem hmo/ppo/traditional professional · fee schedule · both | $38.65 | $30.63 | $14.60 – $38.65 |
| 11 | Caresource commercial professional · fee schedule · both | $44.70 | $33.95 | $12.45 – $44.70 |
| 12 | Ambetter commercial professional · fee schedule · both | $46.49 | $35.31 | $12.95 – $46.49 |
| 13 | Aetna commercial professional · fee schedule · both | $65.54 | $49.73 | $18.10 – $65.54 |
| 14 | Cigna commercial professional · fee schedule · both | $65.54 | $49.73 | $18.10 – $65.54 |
| 15 | Tricare government facility · case rate · outpatient | $94.69 | $94.69 | $94.69 – $94.69 |
| 16 | Aetna medicare advantage facility · case rate · outpatient | $111.40 | $111.40 | $111.40 – $111.40 |
| 17 | Anthem medicare advantage facility · case rate · outpatient | $111.40 | $111.40 | $111.40 – $111.40 |
| 18 | Caresource medicare advantage facility · case rate · outpatient | $111.40 | $111.40 | $111.40 – $111.40 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $111.40 | $111.40 | $111.40 – $111.40 |
| 20 | Caresource commercial facility · case rate · outpatient | $139.25 | $139.25 | $139.25 – $139.25 |
| 21 | Ambetter commercial facility · case rate · outpatient | $144.82 | $144.82 | $144.82 – $144.82 |
Last updated: Feb 13, 2026
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