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
HCHG 72100 SPINE LUMBAR (ROUT) 2-3VWS
Friendship, WI
See all hospitals reporting CPT 72100 →Price type
Moundview Memorial Hospital and Clinics, Inc.’s median price of $334 is 131% above the median hospital's median price ($144), higher than 82% 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: 5 payers, 16 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 | Anthem medicaid facility · other · outpatient | $156.04 | $156.04 | $156.04 – $156.04 |
| 2 | Anthem medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $247.48 | $247.48 | $247.48 – $247.48 |
| 3 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $247.48 | $247.48 | $247.48 – $247.48 |
| 4 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $258.24 | $258.24 | $258.24 – $258.24 |
| 5 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $258.24 | $258.24 | $258.24 – $258.24 |
| 6 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $334.10 | $334.10 | $334.10 – $334.10 |
| 7 | Anthem hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $390.86 | $390.86 | $390.86 – $390.86 |
| 8 | Anthem ppo facility · percent of total billed charges · outpatientfrom % of charges | $390.86 | $390.86 | $390.86 – $390.86 |
| 9 | Anthem state specific facility · percent of total billed charges · outpatientfrom % of charges | $390.86 | $390.86 | $390.86 – $390.86 |
| 10 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $414.80 | $414.80 | $414.80 – $414.80 |
| 11 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $430.40 | $430.40 | $430.40 – $430.40 |
| 12 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $473.44 | $473.44 | $473.44 – $473.44 |
| 13 | MultiPlan mpi_healtheos wc facility · percent of total billed charges · outpatientfrom % of charges | $516.48 | $516.48 | $516.48 – $516.48 |
| 14 | Anthem hmo/pos facility · fee schedule · outpatient | $547.53 | $547.53 | $547.53 – $547.53 |
| 15 | Anthem ppo facility · fee schedule · outpatient | $547.53 | $547.53 | $547.53 – $547.53 |
| 16 | Anthem state specific facility · fee schedule · outpatient | $547.53 | $547.53 | $547.53 – $547.53 |
Last updated: Jun 27, 2026
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