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
SP-LS SPN 2 TO 3V DR
Moberly, MO
See all hospitals reporting CPT 72100 →Price type
Moberly Hospital Company LLC’s median price of $317 is 120% above the median hospital's median price ($144), higher than 81% 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: 8 payers, 18 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 | Tricare node tricare facility · fee schedule · outpatient | $105.60 | $105.60 | $105.60 – $105.60 |
| 2 | Optum node united optum va ccn facility · fee schedule · outpatient | $112.15 | $112.15 | $112.15 – $112.15 |
| 3 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $112.57 | $112.57 | $112.57 – $112.57 |
| 4 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $115.88 | $115.88 | $115.88 – $115.88 |
| 5 | UnitedHealthcare uhc medicaid facility · fee schedule · outpatient | $149.59 | $149.59 | $149.59 – $149.59 |
| 6 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $317.17 | $317.17 | $317.17 – $317.17 |
| 7 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $317.17 | $317.17 | $317.17 – $317.17 |
| 8 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $668.91 | $668.91 | $668.91 – $668.91 |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $668.91 | $668.91 | $668.91 – $668.91 |
| 10 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $668.91 | $668.91 | $668.91 – $668.91 |
| 11 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $668.91 | $668.91 | $668.91 – $668.91 |
| 12 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $762.44 | $762.44 | $762.44 – $762.44 |
| 13 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $762.44 | $762.44 | $762.44 – $762.44 |
| 14 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $777.68 | $777.68 | $777.68 – $777.68 |
| 15 | Aetna aetna auto facility · percent of total billed charges · inpatientfrom % of charges | $813.26 | $813.26 | $813.26 – $813.26 |
| 16 | Aetna aetna auto facility · percent of total billed charges · outpatientfrom % of charges | $813.26 | $813.26 | $813.26 – $813.26 |
| 17 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $823.43 | $823.43 | $823.43 – $823.43 |
| 18 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $823.43 | $823.43 | $823.43 – $823.43 |
Last updated: Apr 1, 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.