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 Spine Lumbar Min 4 Views
Lebanon, MO
See all hospitals reporting CPT 72110 →Price type
Mercy Hospital Lebanon dba Mercy Hospital Lebanon’s median price of $609 is 278% above the median hospital's median price ($161), higher than 91% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 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 | Medicaid hb lebn ok medicaid facility · fee schedule · outpatient | $33.02 | $33.02 | $33.02 – $33.02 |
| 2 | Devoted hb lebn devoted health medicare advantage 104% w/seq facility · other · outpatient | $45.77 | $45.77 | $45.77 – $45.77 |
| 3 | Medicaid hb lebn mo medicaid facility · fee schedule · outpatient | $90.66 | $90.66 | $90.66 – $90.66 |
| 4 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $105.87 | $105.87 | $105.87 – $105.87 |
| 5 | Aetna hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 6 | Blue Cross Blue Shield hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 7 | Cigna hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 8 | Humana hb lebn humana mcr new 1.1.24 facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 9 | Medica hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 10 | Medicare hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 11 | Tricare hb lebn tricare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 12 | UnitedHealthcare hb lebn medicare facility · other · outpatient | $110.02 | $110.02 | $110.02 – $110.02 |
| 13 | Ambetter hb lebn ambetter exchange mo facility · fee schedule · outpatient | $122.68 | $122.68 | $122.68 – $122.68 |
| 14 | UnitedHealthcare hb lebn uhc mo medicaid facility · fee schedule · outpatient | $135.99 | $135.99 | $135.99 – $135.99 |
| 15 | Blue Cross Blue Shield hb lebn mo care health plan/healthy blue facility · fee schedule · outpatient | $136.90 | $136.90 | $136.90 – $136.90 |
| 16 | Blue Cross Blue Shield hb lebn anthem pathways exchange facility · fee schedule · outpatient | $273.65 | $273.65 | $273.65 – $273.65 |
| 17 | Blue Cross Blue Shield hb lebn anthem blue preferred facility · fee schedule · outpatient | $294.00 | $294.00 | $294.00 – $294.00 |
| 18 | Anthem hb lebn anthem alliance facility · fee schedule · outpatient | $313.41 | $313.41 | $313.41 – $313.41 |
| 19 | Blue Cross Blue Shield hb lebn anthem alliance facility · fee schedule · outpatient | $313.41 | $313.41 | $313.41 – $313.41 |
| 20 | Anthem hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $333.34 | $333.34 | $333.34 – $333.34 |
| 21 | Blue Cross Blue Shield hb lebn anthem blue access/access choice facility · fee schedule · outpatient | $333.34 | $333.34 | $333.34 – $333.34 |
| 22 | Blue Cross Blue Shield hb lebn anthem traditional facility · fee schedule · outpatient | $340.12 | $340.12 | $340.12 – $340.12 |
| 23 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $370.12 | $370.12 | $370.12 – $370.12 |
| 24 | Cigna hb lebn cigna facility · percent of total billed charges · outpatientfrom % of charges | $693.38 | $693.38 | $693.38 – $693.38 |
| 25 | Aetna hb lebn aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $702.75 | $702.75 | $702.75 – $702.75 |
Last updated: Jun 10, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.