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
HC CT THORACIC SPINE W/O CONTRAST MATERIAL
Winston Salem, NC
See all hospitals reporting CPT 72128 →Price type
North Carolina Baptist Hospital’s median price of $800 is 139% above the median hospital's median price ($334), higher than 70% 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: 10 payers, 35 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 | Aetna medicare advantage other · outpatient | $102.94 | $102.94 | $102.94 – $102.94 |
| 2 | UnitedHealthcare medicare advantage other · outpatient | $108.69 | $108.69 | $108.69 – $108.69 |
| 3 | Humana medicare advantage other · outpatient | $109.77 | $109.77 | $109.77 – $109.77 |
| 4 | Medcost employee managed care percent of total billed charges · outpatientfrom % of charges | $452.63 | $452.63 | $452.63 – $452.63 |
| 5 | Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges | $512.29 | $512.29 | $512.29 – $512.29 |
| 6 | UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $523.27 | $523.27 | $523.27 – $523.27 |
| 7 | WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $523.27 | $523.27 | $523.27 – $523.27 |
| 8 | Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges | $541.78 | $541.78 | $541.78 – $541.78 |
| 9 | Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges | $605.79 | $605.79 | $605.79 – $605.79 |
| 10 | Ambetter managed care percent of total billed charges · outpatientfrom % of charges | $617.22 | $617.22 | $617.22 – $617.22 |
| 11 | Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges | $660.65 | $660.65 | $660.65 – $660.65 |
| 12 | Oscar managed care percent of total billed charges · outpatientfrom % of charges | $685.80 | $685.80 | $685.80 – $685.80 |
| 13 | Medcost employee managed care percent of total billed charges · inpatientfrom % of charges | $699.52 | $699.52 | $699.52 – $699.52 |
| 14 | Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges | $707.52 | $707.52 | $707.52 – $707.52 |
| 15 | Medcost mbs managed care percent of total billed charges · inpatientfrom % of charges | $756.67 | $756.67 | $756.67 – $756.67 |
| 16 | Medcost mbs managed care percent of total billed charges · outpatientfrom % of charges | $756.67 | $756.67 | $756.67 – $756.67 |
| 17 | Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges | $800.10 | $800.10 | $800.10 – $800.10 |
| 18 | Oscar managed care percent of total billed charges · inpatientfrom % of charges | $822.96 | $822.96 | $822.96 – $822.96 |
| 19 | Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges | $827.53 | $827.53 | $827.53 – $827.53 |
| 20 | Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges | $840.11 | $840.11 | $840.11 – $840.11 |
| 21 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $916.69 | $916.69 | $916.69 – $916.69 |
| 22 | Aetna broad network percent of total billed charges · inpatientfrom % of charges | $937.26 | $937.26 | $937.26 – $937.26 |
| 23 | Cigna managed care (adult) case rate · outpatient | $1,047 | $1,047 | $1,047 – $1,047 |
| 24 | Cigna managed care (pediatrics) case rate · outpatient | $1,047 | $1,047 | $1,047 – $1,047 |
| 25 | UnitedHealthcare iex individual managed care case rate · outpatient | $1,115 | $1,115 | $1,115 – $1,115 |
Last updated: Oct 8, 2025
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