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
St, NE
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: 14 payers, 31 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 [946] professional · fee schedule · outpatient | $29.07 | $25.03 | $8.61 – $33.37 |
| 2 | Ucare ucare connect medicare advantage plan [945] professional · fee schedule · outpatient | $31.34 | $26.99 | $9.28 – $35.98 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [1126] professional · fee schedule · outpatient | $35.62 | $30.67 | $10.55 – $40.89 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $35.62 | $30.67 | $10.55 – $40.89 |
| 5 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $36.69 | $31.59 | $10.87 – $42.12 |
| 6 | Medica medica advantage solution [790] professional · fee schedule · outpatient | $36.69 | $31.59 | $10.87 – $42.12 |
| 7 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $37.40 | $32.20 | $11.08 – $42.93 |
| 8 | Medica medica dual solution msho medicare advantage plan [1003] professional · fee schedule · outpatient | $37.40 | $32.20 | $11.08 – $42.93 |
| 9 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $40.96 | $35.27 | $12.13 – $47.02 |
| 10 | Blue Cross Blue Shield & swwi bcbs platinum blue medicare advantage plan [943] professional · fee schedule · outpatient | $37.40 | $37.40 | $31.86 – $42.93 |
| 11 | Anthem blue cross blue shield [240] professional · percent of total billed charges · outpatientfrom % of charges | $138.00 | $125.00 | $49.50 – $187.50 |
| 12 | Blue Cross Blue Shield blue cross blue shield blue plus se [828] professional · percent of total billed charges · outpatientfrom % of charges | $138.00 | $125.00 | $49.50 – $187.50 |
| 13 | Ucare ucare ifp [1113] professional · percent of total billed charges · outpatientfrom % of charges | $138.00 | $125.00 | $49.50 – $187.50 |
| 14 | Blue Cross Blue Shield winona health [1291] professional · percent of total billed charges · outpatientfrom % of charges | $156.40 | $141.67 | $56.10 – $212.50 |
| 15 | 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 |
| 16 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $161.92 | $146.67 | $58.08 – $220.00 |
| 17 | Medica medica non mayo employee group [763] professional · percent of total billed charges · outpatientfrom % of charges | $165.60 | $150.00 | $59.40 – $225.00 |
| 18 | Healthpartners noncontracted [932] professional · percent of total billed charges · outpatientfrom % of charges | $171.12 | $155.00 | $61.38 – $232.50 |
| 19 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $171.12 | $155.00 | $61.38 – $232.50 |
| 20 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $172.96 | $156.67 | $62.04 – $235.00 |
| 21 | Aetna multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 22 | Cigna cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 23 | First Health multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 24 | Healthpartners cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
| 25 | Humana cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $174.80 | $158.33 | $62.70 – $237.50 |
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.