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
SPINE CERVICAL LAT W/ FLEX + EXT
Gaylord, MI
See all hospitals reporting CPT 72040 →Price type
Munson Healthcare Otsego Memorial Hospital’s median price of $87 is 31% below the median hospital's median price ($125), higher than 21% of the 2,628 hospitals reporting CPT 72040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 24 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 | $6.82 | $6.82 | $6.82 – $6.82 |
| 2 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $6.96 | $6.96 | $6.96 – $6.96 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $18.83 | $17.29 | $7.10 – $25.93 |
| 4 | UnitedHealthcare managed medicaid professional · fee schedule · both | $23.20 | $22.04 | $6.82 – $36.10 |
| 5 | Humana medicare advantage professional · fee schedule · both | $26.91 | $24.70 | $10.14 – $37.04 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $27.18 | $24.94 | $10.24 – $37.41 |
| 7 | UnitedHealthcare commercial professional · fee schedule · both | $23.20 | $25.21 | $12.93 – $39.50 |
| 8 | Molina medicare advantage professional · fee schedule · both | $29.06 | $26.67 | $10.95 – $40.00 |
| 9 | Cigna commercial professional · fee schedule · both | $43.65 | $39.80 | $16.05 – $59.70 |
| 10 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial professional · fee schedule · both | $46.34 | $42.25 | $17.04 – $63.38 |
| 11 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $45.35 | $45.35 | $45.35 – $45.35 |
| 12 | Molina managed medicaid facility · fee schedule · outpatient | $45.35 | $45.35 | $45.35 – $45.35 |
| 13 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $45.35 | $45.35 | $45.35 – $45.35 |
| 14 | Humana medicare advantage facility · fee schedule · outpatient | $86.71 | $86.71 | $86.71 – $86.71 |
| 15 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $86.71 | $86.71 | $86.71 – $86.71 |
| 16 | Aetna medicare advantage facility · fee schedule · outpatient | $87.58 | $87.58 | $87.58 – $87.58 |
| 17 | Molina medicare advantage facility · fee schedule · outpatient | $93.65 | $93.65 | $93.65 – $93.65 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $96.82 | $96.82 | $96.82 – $96.82 |
| 19 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · inpatientfrom % of charges | $196.09 | $196.09 | $196.09 – $196.09 |
| 20 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · outpatientfrom % of charges | $196.09 | $196.09 | $196.09 – $196.09 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $251.51 | $251.51 | $251.51 – $251.51 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $251.51 | $251.51 | $251.51 – $251.51 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $254.34 | $254.34 | $254.34 – $254.34 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $254.34 | $254.34 | $254.34 – $254.34 |
Last updated: Apr 17, 2026
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