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 MINIMUM 4 VIEWS
Jasper, IN
See all hospitals reporting CPT 72110 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $47 is 71% below the median hospital's median price ($161), higher than 4% 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: 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 | $23.45 | $23.45 | $23.45 – $23.45 |
| 2 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $24.97 | $24.97 | $24.97 – $24.97 |
| 3 | Anthem managed medicaid professional · fee schedule · both | $29.35 | $26.44 | $11.80 – $35.25 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $46.90 | $35.22 | $11.85 – $46.90 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $46.90 | $35.22 | $11.85 – $46.90 |
| 6 | Caresource medicare advantage professional · fee schedule · both | $46.90 | $35.22 | $11.85 – $46.90 |
| 7 | Humana medicare advantage professional · fee schedule · both | $46.90 | $35.22 | $11.85 – $46.90 |
| 8 | Tricare government professional · fee schedule · both | $46.90 | $35.22 | $11.85 – $46.90 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $47.42 | $36.10 | $13.46 – $47.42 |
| 10 | Anthem hmo/ppo/traditional professional · fee schedule · both | $53.08 | $42.09 | $20.10 – $53.08 |
| 11 | Caresource commercial professional · fee schedule · both | $58.63 | $44.02 | $14.81 – $58.63 |
| 12 | Ambetter commercial professional · fee schedule · both | $60.97 | $45.78 | $15.41 – $60.97 |
| 13 | Aetna commercial professional · fee schedule · both | $89.31 | $66.87 | $21.99 – $89.31 |
| 14 | Cigna commercial professional · fee schedule · both | $89.31 | $66.87 | $21.99 – $89.31 |
| 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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