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
X-ray exam l-2 spine 4/>vws
Lebanon, NH
See all hospitals reporting CPT 72110 →Price type
Mary Hitchcock Memorial Hospital’s median price of $89 is 45% below the median hospital's median price ($161), higher than 11% 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: 10 payers, 103 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $22.95 | $22.95 | $8.96 – $36.93 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $25.90 | $25.90 | $12.38 – $39.42 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $25.90 | $25.90 | $12.38 – $39.42 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $25.90 | $25.90 | $12.38 – $39.42 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $25.90 | $25.90 | $12.38 – $39.42 |
| 6 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $26.58 | $26.58 | $26.58 – $26.58 |
| 7 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $26.68 | $26.68 | $12.75 – $40.60 |
| 8 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $26.68 | $26.68 | $12.75 – $40.60 |
| 9 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $26.93 | $26.93 | $12.87 – $40.99 |
| 10 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $27.19 | $27.19 | $12.99 – $41.39 |
| 11 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $27.39 | $27.39 | $14.58 – $40.19 |
| 12 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $30.43 | $30.43 | $16.20 – $44.65 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $31.04 | $31.04 | $31.04 – $31.04 |
| 14 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $51.80 | $51.80 | $51.80 – $51.80 |
| 15 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $58.21 | $58.21 | $30.99 – $85.43 |
| 16 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $61.43 | $61.43 | $29.36 – $93.50 |
| 17 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $63.68 | $63.68 | $30.20 – $97.15 |
| 18 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $65.33 | $65.33 | $40.84 – $89.82 |
| 19 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch - dhp professional · fee schedule · outpatient | $65.45 | $65.45 | $31.04 – $99.86 |
| 20 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $65.81 | $65.81 | $31.21 – $100.41 |
| 21 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $67.64 | $67.64 | $42.28 – $92.99 |
| 22 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $72.59 | $72.59 | $45.37 – $99.80 |
| 23 | Anthem anthem ppo professional · fee schedule · outpatient | $72.59 | $72.59 | $45.37 – $99.80 |
| 24 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $72.75 | $72.75 | $34.44 – $111.06 |
| 25 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $72.89 | $72.89 | $34.57 – $111.20 |
Last updated: Jan 1, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.