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 THORACIC SPINE W/O CONTRAST
Gaylord, MI
See all hospitals reporting CPT 72128 →Price type
Munson Healthcare Otsego Memorial Hospital’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: 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 | $29.82 | $29.82 | $29.82 – $29.82 |
| 2 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $30.42 | $30.42 | $30.42 – $30.42 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $54.48 | $54.48 | $54.48 – $54.48 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · both | $53.63 | $57.07 | $31.97 – $85.60 |
| 7 | Humana medicare advantage professional · fee schedule · both | $76.61 | $81.52 | $45.67 – $122.28 |
| 8 | Aetna medicare advantage professional · fee schedule · both | $77.38 | $82.34 | $46.13 – $123.50 |
| 9 | Molina medicare advantage professional · fee schedule · both | $82.74 | $88.04 | $49.32 – $132.06 |
| 10 | Humana medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 11 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $104.17 | $104.17 | $104.17 – $104.17 |
| 12 | Aetna medicare advantage facility · fee schedule · outpatient | $105.21 | $105.21 | $105.21 – $105.21 |
| 13 | Molina medicare advantage facility · fee schedule · outpatient | $112.50 | $112.50 | $112.50 – $112.50 |
| 14 | UnitedHealthcare managed medicaid professional · fee schedule · both | $145.44 | $126.99 | $29.82 – $205.72 |
| 15 | Cigna commercial professional · fee schedule · both | $127.94 | $132.13 | $70.25 – $198.19 |
| 16 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial professional · fee schedule · both | $135.81 | $140.25 | $74.56 – $210.38 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $145.44 | $156.81 | $62.65 – $262.33 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $294.02 | $294.02 | $294.02 – $294.02 |
| 19 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,045 | $1,045 | $1,045 – $1,045 |
| 20 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,045 | $1,045 | $1,045 – $1,045 |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 23 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
Last updated: Apr 17, 2026
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