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
Tucson, AZ
See all hospitals reporting CPT 72100 →Price type
Northwest Hospital LLC’s median price of $112 is 23% below the median hospital's median price ($144), higher than 30% 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: 15 payers, 33 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 aetna qhp facility · fee schedule · outpatient | $37.90 | $37.90 | $37.90 – $37.90 |
| 2 | Aetna aetna performance facility · fee schedule · outpatient | $42.36 | $42.36 | $42.36 – $42.36 |
| 3 | Aetna aetna all facility · fee schedule · outpatient | $44.59 | $44.59 | $44.59 – $44.59 |
| 4 | Medicaid az medicaid facility · other · outpatient | $78.21 | $78.21 | $78.21 – $78.21 |
| 5 | Magellan magellan medicaid az facility · other · outpatient | $82.12 | $82.12 | $82.12 – $82.12 |
| 6 | Blue Cross Blue Shield bcbs pimaconnect facility · other · outpatient | $91.86 | $91.86 | $91.86 – $91.86 |
| 7 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient | $96.69 | $96.69 | $96.69 – $96.69 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $104.29 | $104.29 | $98.79 – $109.78 |
| 9 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $104.29 | $104.29 | $98.79 – $109.78 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $104.29 | $104.29 | $98.79 – $109.78 |
| 11 | UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient | $104.29 | $104.29 | $98.79 – $109.78 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $105.98 | $105.98 | $100.40 – $111.56 |
| 13 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $106.38 | $106.38 | $100.77 – $111.98 |
| 14 | Clover node clover health mcr adv facility · fee schedule · outpatient | $107.04 | $107.04 | $101.40 – $112.68 |
| 15 | Devoted node devoted health mcr adv facility · other · outpatient | $107.41 | $107.41 | $101.75 – $113.07 |
| 16 | Magellan node magellan mcr adv facility · fee schedule · outpatient | $109.50 | $109.50 | $103.73 – $115.27 |
| 17 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $109.50 | $109.50 | $103.73 – $115.27 |
| 18 | Blue Cross Blue Shield bcbs az work comp facility · other · outpatient | $130.89 | $130.89 | $130.89 – $130.89 |
| 19 | Ambetter node az complete health ambetter exchange facility · fee schedule · outpatient | $149.44 | $149.44 | $141.57 – $157.30 |
| 20 | UnitedHealthcare uhc hix facility · fee schedule · outpatient | $192.38 | $192.38 | $192.38 – $192.38 |
| 21 | UnitedHealthcare uhc navigate facility · fee schedule · outpatient | $203.07 | $203.07 | $203.07 – $203.07 |
| 22 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $240.48 | $240.48 | $240.48 – $240.48 |
| 23 | Aetna aetna asbait facility · percent of total billed charges · inpatientfrom % of charges | $324.00 | $324.00 | $324.00 – $324.00 |
| 24 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $324.00 | $324.00 | $324.00 – $324.00 |
| 25 | Cigna cigna hmo facility · fee schedule · outpatient | $369.49 | $369.49 | $369.49 – $369.49 |
Last updated: Apr 1, 2026
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