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
Stuart, FL
See all hospitals reporting CPT 72128 →Price type
Martin Memorial Medical Center Inc’s median price of $123 is 63% below the median hospital's median price ($334), higher than 14% 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: 9 payers, 51 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 medicare advantage hmo professional · fee schedule · outpatient | $67.03 | $67.03 | $48.44 – $85.62 |
| 2 | Blue Cross Blue Shield medicare advantage ppo professional · fee schedule · outpatient | $67.03 | $67.03 | $48.44 – $85.62 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $67.03 | $67.03 | $48.44 – $85.62 |
| 4 | Aetna managed medicaid/chip behavioral health facility · case rate · outpatient | $67.45 | $67.45 | $67.45 – $67.45 |
| 5 | Molina florida kidcare facility · case rate · outpatient | $70.82 | $70.82 | $70.82 – $70.82 |
| 6 | Molina managed medicaid facility · case rate · outpatient | $70.82 | $70.82 | $70.82 – $70.82 |
| 7 | Aetna managed medicaid/chip facility · case rate · outpatient | $80.94 | $80.94 | $80.94 – $80.94 |
| 8 | Aetna medicare advantage pcp professional · fee schedule · outpatient | $83.12 | $83.12 | $60.07 – $106.17 |
| 9 | Aetna medicare advantage specialist professional · fee schedule · outpatient | $84.46 | $84.46 | $61.03 – $107.88 |
| 10 | UnitedHealthcare all products professional · fee schedule · outpatient | $86.13 | $86.13 | $61.45 – $110.81 |
| 11 | Blue Cross Blue Shield blueselect professional · fee schedule · outpatient | $89.22 | $89.22 | $37.24 – $141.20 |
| 12 | Blue Cross Blue Shield health options professional · fee schedule · outpatient | $89.22 | $89.22 | $37.24 – $141.20 |
| 13 | MultiPlan all products professional · fee schedule · outpatient | $100.55 | $100.55 | $72.66 – $128.43 |
| 14 | Blue Cross Blue Shield medicare advantage hmo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 15 | Blue Cross Blue Shield medicare advantage ppo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 16 | Humana medicare advantage hmo facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 17 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $106.74 | $106.74 | $106.74 – $106.74 |
| 18 | Blue Cross Blue Shield network blue professional · fee schedule · outpatient | $107.59 | $107.59 | $44.91 – $170.27 |
| 19 | Aetna medicare advantage facility · fee schedule · outpatient | $109.17 | $109.17 | $109.17 – $109.17 |
| 20 | WellCare medicare advantage facility · fee schedule · outpatient | $109.17 | $109.17 | $109.17 – $109.17 |
| 21 | Blue Cross Blue Shield perferred patient care professional · fee schedule · outpatient | $111.09 | $111.09 | $46.37 – $175.81 |
| 22 | Blue Cross Blue Shield traditional (pps) professional · fee schedule · outpatient | $111.09 | $111.09 | $46.37 – $175.81 |
| 23 | Aetna all products anesthesia professional · fee schedule · outpatient | $117.23 | $117.23 | $102.31 – $132.15 |
| 24 | Devoted medicare advantage hmo facility · fee schedule · outpatient | $120.09 | $120.09 | $120.09 – $120.09 |
| 25 | Aetna all products pcp professional · fee schedule · outpatient | $132.15 | $132.15 | $132.15 – $132.15 |
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.