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
XR MYELOGRAM L-SPINE
Plano, TX
See all hospitals reporting CPT 72265 →Price type
Medical City Plano’s median price of $952 is 14% above the median hospital's median price ($837), higher than 63% of the 1,920 hospitals reporting CPT 72265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 51 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 | UnitedHealthcare chip fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 2 | UnitedHealthcare star fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 3 | UnitedHealthcare starkids fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 4 | UnitedHealthcare starperinate fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 5 | UnitedHealthcare starplus fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 6 | Cigna Healthspring mgmcd fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 7 | Aetna Better Health chip fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Aetna Better Health mcd fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 9 | Aetna qhphix fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Molina chip fee schedule · outpatient | $121 | $121 | $1 | 1% | — | $120 – $122 |
| 11 | Molina mcdstar fee schedule · outpatient | $121 | $121 | $1 | 1% | — | $120 – $122 |
| 12 | Molina star+plus fee schedule · outpatient | $121 | $121 | $1 | 1% | — | $120 – $122 |
| 13 | Molina starkids fee schedule · outpatient | $121 | $121 | $1 | 1% | — | $120 – $122 |
| 14 | Humana mgmcd fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 15 | Aetna newbusiness fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 16 | Aetna comm fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 17 | Aetna meritain fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 18 | Humana comm fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 19 | Aetna oon fee schedule · outpatient | $204 | $204 | — | — | — | $204 – $204 |
| 20 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $0 | 0% | — | $222 – $222 |
| 21 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $0 | 0% | — | $222 – $222 |
| 22 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $0 | 0% | — | $222 – $222 |
| 23 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $0 | 0% | — | $222 – $222 |
| 24 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $222 | $222 | $0 | 0% | — | $222 – $222 |
| 25 | Cigna localplus fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
Last updated: Mar 1, 2026
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