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
XR SPINE LUMBOSACRAL MIN 4VWS-TECH
Beaver Dam, WI
See all hospitals reporting CPT 72110 →Price type
Marshfield Medical Center - Beaver Dam’s median price of $511 is 217% above the median hospital's median price ($161), higher than 87% 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: 6 payers, 17 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 hmo/pos facility · fee schedule · outpatient | $272.48 | $272.48 | $272.48 – $272.48 |
| 2 | Anthem ppo facility · fee schedule · outpatient | $272.48 | $272.48 | $272.48 – $272.48 |
| 3 | Anthem traditional facility · fee schedule · outpatient | $272.48 | $272.48 | $272.48 – $272.48 |
| 4 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $416.16 | $416.16 | $416.16 – $416.16 |
| 5 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $452.88 | $452.88 | $452.88 – $452.88 |
| 6 | Humana hmo facility · percent of total billed charges · inpatientfrom % of charges | $483.48 | $483.48 | $483.48 – $483.48 |
| 7 | Humana hmo facility · percent of total billed charges · outpatientfrom % of charges | $483.48 | $483.48 | $483.48 – $483.48 |
| 8 | First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges | $520.20 | $520.20 | $520.20 – $520.20 |
| 9 | First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges | $520.20 | $520.20 | $520.20 – $520.20 |
| 10 | Molina hmo facility · percent of total billed charges · inpatientfrom % of charges | $520.20 | $520.20 | $520.20 – $520.20 |
| 11 | Molina hmo facility · percent of total billed charges · outpatientfrom % of charges | $520.20 | $520.20 | $520.20 – $520.20 |
| 12 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $544.68 | $544.68 | $544.68 – $544.68 |
| 13 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $544.68 | $544.68 | $544.68 – $544.68 |
| 14 | MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges | $569.16 | $569.16 | $569.16 – $569.16 |
| 15 | MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges | $569.16 | $569.16 | $569.16 – $569.16 |
| 16 | MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges | $581.40 | $581.40 | $581.40 – $581.40 |
| 17 | MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges | $581.40 | $581.40 | $581.40 – $581.40 |
Last updated: Feb 20, 2026
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