CT scan of chest and spine without contrast dye at Mary Bridge Children's Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

C CT TSPINE W/O CONTRAST

Tacoma, WA

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How this price compares nationally

Mary Bridge Children's Hospital’s median price of $559 is 67% above the median hospital's median price ($334), higher than 61% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72128 at Mary Bridge Children's Hospital

Negotiated rates from the hospital’s own file: 11 payers, 25 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	Molina apple health fee schedule · outpatient	$82.42	$82.42	$82.42 – $82.42
2	UnitedHealthcare apple health fee schedule · outpatient	$89.02	$89.02	$89.02 – $89.02
3	Aetna medadvantage fee schedule · outpatient	$123.16	$123.16	$123.16 – $123.16
4	Regence medadvantage fee schedule · outpatient	$123.16	$123.16	$123.16 – $123.16
5	UnitedHealthcare medadvantage hmo fee schedule · outpatient	$124.35	$124.35	$124.35 – $124.35
6	Molina medadvantage fee schedule · outpatient	$125.55	$125.55	$125.55 – $125.55
7	WellCare medadvantage fee schedule · outpatient	$125.55	$125.55	$125.55 – $125.55
8	Premera hmo fee schedule · outpatient	$200.22	$200.22	$200.22 – $200.22
9	Ambetter coordinated care exchange fee schedule · outpatient	$292.60	$292.60	$292.60 – $292.60
10	Premera signature fee schedule · outpatient	$401.71	$401.71	$401.71 – $401.71
11	Premera prime fee schedule · outpatient	$410.74	$410.74	$410.74 – $410.74
12	Premera other commercial plans fee schedule · outpatient	$504.81	$504.81	$504.81 – $504.81
13	Regence blue high performance fee schedule · outpatient	$558.55	$558.55	$558.55 – $558.55
14	Regence mcc/ahn fee schedule · outpatient	$558.55	$558.55	$558.55 – $558.55
15	Regence realvalue fee schedule · outpatient	$574.51	$574.51	$574.51 – $574.51
16	Regence commercial fee schedule · outpatient	$638.35	$638.35	$638.35 – $638.35
17	Aetna all commercial plans fee schedule · outpatient	$727.49	$727.49	$727.49 – $727.49
18	Kaiser hmo/ppo fee schedule · outpatient	$840.61	$840.61	$840.61 – $840.61
19	UnitedHealthcare all commercial plans fee schedule · outpatient	$983.50	$983.50	$983.50 – $983.50
20	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,403	$1,403	$1,403 – $1,403
21	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,421	$1,421	$1,421 – $1,421
22	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$1,446	$1,446	$1,446 – $1,446
23	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$1,754	$1,754	$1,754 – $1,754
24	Cigna all commercial plans percent of total billed charges · inpatientfrom % of charges	$1,767	$1,767	$1,767 – $1,767
25	MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges	$1,776	$1,776	$1,776 – $1,776

Last updated: Aug 27, 2026

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