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
Louis, MO
See all hospitals reporting CPT 72110 →Price type
Mercy Hospital South’s median price of $136 is 15% below the median hospital's median price ($161), higher than 40% 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: 17 payers, 41 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 | Molina hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $34.19 | $34.19 | $34.19 – $34.19 |
| 2 | Blue Cross Blue Shield hb samc anthem pathway/exchange eff 011520 facility · fee schedule · outpatient | $59.23 | $59.23 | $59.23 – $59.23 |
| 3 | Blue Cross Blue Shield hb samc anthem blue preferred eff 011520 facility · fee schedule · outpatient | $64.96 | $64.96 | $64.96 – $64.96 |
| 4 | Anthem hb samc anthem access choice facility · fee schedule · outpatient | $73.36 | $73.36 | $73.36 – $73.36 |
| 5 | Blue Cross Blue Shield hb samc anthem access choice facility · fee schedule · outpatient | $73.36 | $73.36 | $73.36 – $73.36 |
| 6 | Ambetter hb samc centene/ambetter exchange facility · fee schedule · outpatient | $76.35 | $76.35 | $76.35 – $76.35 |
| 7 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $78.90 | $78.90 | $78.90 – $78.90 |
| 8 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $78.90 | $78.90 | $78.90 – $78.90 |
| 9 | Medicaid hb samc mo medicaid facility · fee schedule · outpatient | $90.66 | $90.66 | $90.66 – $90.66 |
| 10 | Cigna hb samc cigna ifp facility · fee schedule · outpatient | $95.02 | $95.02 | $95.02 – $95.02 |
| 11 | Cigna hb samc cigna hmo facility · fee schedule · outpatient | $100.02 | $100.02 | $100.02 – $100.02 |
| 12 | Aetna hb samc aetna and coventry managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 13 | Aetna hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 14 | Blue Cross Blue Shield hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 15 | Humana hb samc humana medicare w/seq ip 97% op 100% new 010124 facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 16 | Humana hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 17 | Medica hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 18 | Medicare hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 19 | Tricare hb samc tricare - healthnet west facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 20 | UnitedHealthcare hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 21 | WellCare hb samc medicare and 100% managed medicare facility · other · outpatient | $102.72 | $102.72 | $102.72 – $102.72 |
| 22 | Cigna hb samc cigna managed medicare 010122 103% 010123 102% w/seq new 010122 facility · other · outpatient | $104.78 | $104.78 | $104.78 – $104.78 |
| 23 | WellCare hb samc wellcare harmony mcr 103% facility · other · outpatient | $105.87 | $105.87 | $105.87 – $105.87 |
| 24 | Devoted hb samc devoted health medicare advantage 104% w/seq facility · other · outpatient | $106.83 | $106.83 | $106.83 – $106.83 |
| 25 | UnitedHealthcare hb samc uhc managed medicaid facility · fee schedule · outpatient | $117.86 | $117.86 | $117.86 – $117.86 |
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.