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
Corsicana, TX
See all hospitals reporting CPT 72100 →Price type
Navarro Hospital LP’s median price of $184 is 27% above the median hospital's median price ($144), higher than 62% 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: 10 payers, 45 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 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $49.54 | $49.54 | $49.54 – $49.54 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $103.34 | $99.90 | $93.01 – $103.34 |
| 3 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $103.34 | $99.90 | $93.01 – $103.34 |
| 4 | Tricare node tricare facility · fee schedule · outpatient | $105.02 | $101.52 | $94.52 – $105.02 |
| 5 | Tricare node tricare usfhp facility · fee schedule · outpatient | $105.02 | $101.52 | $94.52 – $105.02 |
| 6 | Aetna node aetna mcr adv facility · other · outpatient | $105.41 | $101.90 | $94.87 – $105.41 |
| 7 | Molina node molina mcr adv facility · other · outpatient | $108.51 | $104.89 | $97.66 – $108.51 |
| 8 | Aetna node aetna chip medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 9 | Aetna node aetna star medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 10 | Medicaid node tx medicaid facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 11 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 13 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $131.99 | $131.99 | $131.99 – $131.99 |
| 14 | Molina node molina chip medicaid tx facility · other · outpatient | $138.59 | $138.59 | $138.59 – $138.59 |
| 15 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $151.79 | $151.79 | $151.79 – $151.79 |
| 16 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $151.79 | $151.79 | $151.79 – $151.79 |
| 17 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $199.54 | $192.89 | $179.59 – $199.54 |
| 18 | Aetna aetna work comp facility · fee schedule · outpatient | $210.04 | $203.04 | $189.04 – $210.04 |
| 19 | Cigna cigna work comp tx facility · fee schedule · outpatient | $210.04 | $203.04 | $189.04 – $210.04 |
| 20 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $295.48 | $246.23 | $147.74 – $295.48 |
| 21 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $295.48 | $246.23 | $147.74 – $295.48 |
| 22 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $335.32 | $279.43 | $167.66 – $335.32 |
| 23 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $335.32 | $279.43 | $167.66 – $335.32 |
| 24 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $351.92 | $293.27 | $175.96 – $351.92 |
| 25 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $351.92 | $293.27 | $175.96 – $351.92 |
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.