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 Con
Maywood, IL
See all hospitals reporting CPT 72128 →Price type
Loyola University Medical Center’s median price of $163 is 51% below the median hospital's median price ($334), higher than 27% 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: 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 | Blue Cross Blue Shield mmp/duals facility · fee schedule · outpatient | $103.09 | $103.09 | $103.09 – $103.09 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $110.85 | $110.85 | $110.85 – $110.85 |
| 3 | Humana medicare advantage facility · fee schedule · outpatient | $113.40 | $113.40 | $113.40 – $113.40 |
| 4 | Cigna medicare advantage facility · fee schedule · outpatient | $114.18 | $114.18 | $114.18 – $114.18 |
| 5 | Molina medicare advantage facility · fee schedule · outpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $116.39 | $116.39 | $116.39 – $116.39 |
| 7 | Oscar health exchange facility · fee schedule · outpatient | $121.94 | $121.94 | $121.94 – $121.94 |
| 8 | Aetna medicaid facility · case rate · outpatient | $151.69 | $151.69 | $151.69 – $151.69 |
| 9 | Molina medicaid facility · case rate · outpatient | $151.69 | $151.69 | $151.69 – $151.69 |
| 10 | Molina health exchange facility · fee schedule · outpatient | $162.95 | $162.95 | $162.95 – $162.95 |
| 11 | Humana all products facility · fee schedule · outpatient | $511.42 | $511.42 | $511.42 – $511.42 |
| 12 | Cigna hmo facility · other · outpatient | $519.00 | $519.00 | $519.00 – $519.00 |
| 13 | Cigna ppo facility · other · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 14 | Aetna fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,689 | $1,689 | $1,689 – $1,689 |
| 15 | UnitedHealthcare navigate core facility · other · outpatient | $1,845 | $1,845 | $1,845 – $1,845 |
| 16 | Blue Cross Blue Shield blue choice facility · percent of total billed charges · outpatientfrom % of charges | $1,853 | $1,853 | $1,853 – $1,853 |
| 17 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $1,858 | $1,858 | $1,858 – $1,858 |
| 18 | UnitedHealthcare all products facility · other · outpatient | $2,010 | $2,010 | $2,010 – $2,010 |
| 19 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,222 | $2,222 | $2,222 – $2,222 |
| 20 | Blue Cross Blue Shield blue precision facility · percent of total billed charges · outpatientfrom % of charges | $2,739 | $2,739 | $2,739 – $2,739 |
| 21 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,739 | $2,739 | $2,739 – $2,739 |
Last updated: Mar 31, 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.