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 THORACIC SPINE W/O CONTRAST MATERIAL
Lodi, OH
See all hospitals reporting CPT 72128 →Price type
Lodi Community Hospital’s median price of $396 is 19% above the median hospital's median price ($334), higher than 54% 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: 10 payers, 28 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 | Optum all products va facility · fee schedule · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 2 | Optum medicare advantage transplant facility · fee schedule · outpatient | $106.34 | $106.34 | $106.34 – $106.34 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $106.81 | $106.81 | $106.81 – $106.81 |
| 4 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $207.58 | $207.58 | $207.58 – $207.58 |
| 5 | Humana medicare advantage hmo facility · percent of total billed charges · outpatientfrom % of charges | $220.20 | $220.20 | $220.20 – $220.20 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $220.20 | $220.20 | $220.20 – $220.20 |
| 7 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $234.88 | $234.88 | $234.88 – $234.88 |
| 8 | Optum managed medicaid transplant facility · case rate · outpatient | $244.62 | $244.62 | $244.62 – $244.62 |
| 9 | Caresource managed medicaid facility · case rate · outpatient | $257.49 | $257.49 | $257.49 – $257.49 |
| 10 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $264.90 | $264.90 | $264.90 – $264.90 |
| 11 | Anthem managed medicaid facility · case rate · outpatient | $270.36 | $270.36 | $270.36 – $270.36 |
| 12 | Molina managed medicaid facility · case rate · outpatient | $270.36 | $270.36 | $270.36 – $270.36 |
| 13 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $270.36 | $270.36 | $270.36 – $270.36 |
| 14 | Anthem hpn facility · percent of total billed charges · inpatientfrom % of charges | $400.76 | $400.76 | $400.76 – $400.76 |
| 15 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $415.44 | $415.44 | $415.44 – $415.44 |
| 16 | Aetna acop facility · percent of total billed charges · outpatientfrom % of charges | $416.91 | $416.91 | $416.91 – $416.91 |
| 17 | Anthem hpn facility · percent of total billed charges · outpatientfrom % of charges | $444.36 | $444.36 | $444.36 – $444.36 |
| 18 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $466.09 | $466.09 | $466.09 – $466.09 |
| 19 | Anthem ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $471.52 | $471.52 | $471.52 – $471.52 |
| 20 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $486.20 | $486.20 | $486.20 – $486.20 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $495.89 | $495.89 | $495.89 – $495.89 |
| 22 | Aetna asa_whirlpool_peia facility · percent of total billed charges · outpatientfrom % of charges | $504.26 | $504.26 | $504.26 – $504.26 |
| 23 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $507.93 | $507.93 | $507.93 – $507.93 |
| 24 | Aetna international facility · percent of total billed charges · outpatientfrom % of charges | $509.40 | $509.40 | $509.40 – $509.40 |
| 25 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $522.75 | $522.75 | $522.75 – $522.75 |
Last updated: Jun 15, 2026
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.