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
CT CHEST SPINE W/O DYE
Grayling, MI
See all hospitals reporting CPT 72128 →Price type
Munson Healthcare Grayling’s median price of $122 is 63% below the median hospital's median price ($334), higher than 13% 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: 8 payers, 28 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 managed medicaid professional · fee schedule · both | $29.82 | $29.82 | $29.82 – $29.82 |
| 2 | UnitedHealthcare managed medicaid professional · fee schedule · both | $29.82 | $29.82 | $29.82 – $29.82 |
| 3 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $30.42 | $30.42 | $30.42 – $30.42 |
| 4 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 5 | Molina managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 6 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 7 | UnitedHealthcare medicare advantage professional · fee schedule · both | $75.23 | $79.80 | $44.47 – $119.70 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $76.61 | $81.52 | $45.67 – $122.28 |
| 9 | Humana medicare advantage professional · fee schedule · both | $76.61 | $81.52 | $45.67 – $122.28 |
| 10 | Molina medicare advantage professional · fee schedule · both | $76.61 | $81.52 | $45.67 – $122.28 |
| 11 | WellCare medicare advantage professional · fee schedule · both | $76.61 | $81.52 | $45.67 – $122.28 |
| 12 | Aetna medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 13 | Humana medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 14 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 15 | WellCare medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 16 | Molina medicare advantage facility · fee schedule · outpatient | $112.50 | $112.50 | $112.50 – $112.50 |
| 17 | Aetna commercial professional · fee schedule · both | $115.74 | $121.45 | $66.44 – $182.18 |
| 18 | Cigna commercial professional · fee schedule · both | $127.94 | $132.13 | $70.25 – $198.19 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $138.54 | $138.54 | $62.79 – $214.29 |
| 20 | Blue Cross Blue Shield commercial professional · fee schedule · both | $135.81 | $140.25 | $74.56 – $210.38 |
| 21 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $236.21 | $236.21 | $236.21 – $236.21 |
| 22 | Cigna commercial facility · fee schedule · outpatient | $294.02 | $294.02 | $294.02 – $294.02 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $933.00 | $933.00 | $933.00 – $933.00 |
| 24 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $933.00 | $933.00 | $933.00 – $933.00 |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,179 | $1,179 | $1,179 – $1,179 |
Last updated: Apr 17, 2026
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