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
CHG CT THORACIC SPINE W/O CONTRAST MATERIAL
Cheyenne, WY
See all hospitals reporting CPT 72128 →Price type
Memorial Hospital of Laramie County’s median price of $543 is 62% above the median hospital's median price ($334), higher than 61% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 17 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicare advantage fee schedule · both | $108.84 | $99.19 | $46.83 – $132.25 |
| 2 | Humana medicare advantage fee schedule · both | $112.04 | $102.11 | $48.21 – $136.14 |
| 3 | UnitedHealthcare medicare advantage case rate · outpatient | $108.95 | $108.95 | $108.95 – $108.95 |
| 4 | Humana medicare advantage case rate · outpatient | $112.15 | $112.15 | $112.15 – $112.15 |
| 5 | Cigna pos/ppo fee schedule · both | $115.71 | $211.13 | $115.71 – $412.11 |
| 6 | Bcbs Wy blue select ppo fee schedule · both | $482.50 | $407.25 | $121.00 – $543.00 |
| 7 | Bcbs Wy ppo fee schedule · both | $482.50 | $407.25 | $121.00 – $543.00 |
| 8 | UnitedHealthcare hmo/pos/ppo fee schedule · both | $679.25 | $576.67 | $179.29 – $768.89 |
| 9 | Aetna pos/ppo percent of total billed charges · bothfrom % of charges | $608.57 | $608.57 | $310.27 – $906.86 |
| 10 | Bcbs Wy blue select ppo percent of total billed charges · outpatientfrom % of charges | $2,684 | $2,684 | $2,684 – $2,684 |
| 11 | Bcbs Wy ppo percent of total billed charges · outpatientfrom % of charges | $2,757 | $2,757 | $2,757 – $2,757 |
| 12 | Cigna pos/ppo percent of total billed charges · inpatientfrom % of charges | $2,875 | $2,875 | $2,875 – $2,875 |
| 13 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · inpatientfrom % of charges | $2,930 | $2,930 | $2,930 – $2,930 |
| 14 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $2,996 | $2,996 | $2,996 – $2,996 |
| 15 | Cigna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,059 | $3,059 | $3,059 – $3,059 |
| 16 | Aetna pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,235 | $3,235 | $3,235 – $3,235 |
| 17 | Aetna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,235 | $3,235 | $3,235 – $3,235 |
Last updated: Mar 25, 2026
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.