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
Fairmont 56031-4575
See all hospitals reporting CPT 72100 →Price type
Mayo Clinic Health System’s median price of $175 is 21% above the median hospital's median price ($144), higher than 59% 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: 13 payers, 24 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 blue cross blue shield mncare contract [1410] professional · fee schedule · outpatient | $31.84 | $25.47 | $8.29 – $31.84 |
| 2 | Blue Cross Blue Shield blue cross blue shield federal retiree [1124] professional · fee schedule · outpatient | $35.62 | $30.67 | $10.55 – $40.89 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $35.62 | $30.67 | $10.55 – $40.89 |
| 4 | Blue Cross Blue Shield blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $156.40 | $141.67 | $56.10 – $212.50 |
| 5 | Medica deanhp by medica west mc hmo [1262] professional · percent of total billed charges · outpatientfrom % of charges | $161.92 | $146.67 | $58.08 – $220.00 |
| 6 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $161.92 | $146.67 | $58.08 – $220.00 |
| 7 | Blue Cross Blue Shield blue cross blue shield fep [867] professional · percent of total billed charges · outpatientfrom % of charges | $162.67 | $147.35 | $58.35 – $221.03 |
| 8 | Anthem blue cross blue shield [237] professional · percent of total billed charges · outpatientfrom % of charges | $165.60 | $150.00 | $59.40 – $225.00 |
| 9 | Blue Cross Blue Shield blue cross blue shield [237] professional · percent of total billed charges · outpatientfrom % of charges | $165.60 | $150.00 | $59.40 – $225.00 |
| 10 | Medica medica non mayo employee group [763] professional · percent of total billed charges · outpatientfrom % of charges | $165.60 | $150.00 | $59.40 – $225.00 |
| 11 | Medica medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $172.96 | $156.67 | $62.04 – $235.00 |
| 12 | Aetna aetna [214] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 13 | Aetna all other plans [214] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 14 | Blue Cross Blue Shield blue cross blue shield tiered network [890] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 15 | Cigna all other plans [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 16 | First Health aetna [214] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 17 | Healthpartners cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 18 | Humana cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 19 | Medcost cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 20 | Medica coventry first health [271] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 21 | Medical Mutual aetna [214] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 22 | Oscar cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 23 | Sanford Health Plan private healthcare systems healtheos [310] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 24 | Blue Cross Blue Shield blue cross blue shield out of network [891] professional · percent of total billed charges · outpatientfrom % of charges | $178.48 | $161.67 | $64.02 – $242.50 |
Last updated: Mar 31, 2026
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.