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
PR XR SPINE LUMBOSACRAL 2-3V
Bloomer, WI
See all hospitals reporting CPT 72100 →Price type
Mayo Clinic Health System’s median price of $176 is 22% above the median hospital's median price ($144), higher than 60% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 30 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $27.27 | $23.61 | $8.42 – $31.48 |
| 2 | Ucare ucare connect medicare advantage plan [1107] professional · fee schedule · outpatient | $29.41 | $25.46 | $9.08 – $33.95 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $33.42 | $28.94 | $10.32 – $38.58 |
| 4 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $33.42 | $28.94 | $10.32 – $38.58 |
| 5 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $34.43 | $29.81 | $10.63 – $39.74 |
| 6 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $35.09 | $30.38 | $10.84 – $40.51 |
| 7 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $37.40 | $32.20 | $11.08 – $42.93 |
| 8 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $37.40 | $32.20 | $11.08 – $42.93 |
| 9 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $38.47 | $33.12 | $11.39 – $44.16 |
| 10 | Medica medica part b medicare advantage plan [495] professional · fee schedule · outpatient | $40.96 | $35.27 | $12.13 – $47.02 |
| 11 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $132.48 | $173.28 | $127.44 – $259.92 |
| 12 | Blue Cross Blue Shield nwwi anthem hmo and pos [54] professional · fee schedule · outpatient | $184.00 | $186.74 | $85.44 – $303.25 |
| 13 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $156.40 | $204.57 | $150.45 – $306.85 |
| 14 | Medica nwwi medica engage ifb [1300] professional · percent of total billed charges · outpatientfrom % of charges | $156.40 | $204.57 | $150.45 – $306.85 |
| 15 | Medica nwwi medica non mayo employee group [762] professional · percent of total billed charges · outpatientfrom % of charges | $156.40 | $204.57 | $150.45 – $306.85 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $165.60 | $216.60 | $159.30 – $324.90 |
| 17 | UnitedHealthcare multi uhc [266] professional · percent of total billed charges · outpatientfrom % of charges | $169.28 | $221.41 | $162.84 – $332.12 |
| 18 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $171.12 | $223.82 | $164.61 – $335.73 |
| 19 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $172.96 | $226.23 | $166.38 – $339.34 |
| 20 | Medica nwwi medica ifb [1077] professional · percent of total billed charges · outpatientfrom % of charges | $173.79 | $227.31 | $167.18 – $340.96 |
| 21 | Anthem multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $228.63 | $168.15 – $342.95 |
| 22 | Blue Cross Blue Shield multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $228.63 | $168.15 – $342.95 |
| 23 | Aetna multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $175.72 | $229.84 | $169.04 – $344.76 |
| 24 | First Health multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $175.72 | $229.84 | $169.04 – $344.76 |
| 25 | Medical Mutual multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $175.72 | $229.84 | $169.04 – $344.76 |
Last updated: Aug 14, 2026
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