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
XR SPINE LS 4+ VW
Page, AZ
See all hospitals reporting CPT 72110 →Price type
Page Hospital’s median price of $79 is 51% below the median hospital's median price ($161), higher than 10% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Humana medicare advantage facility · fee schedule · outpatient | $38.59 | $38.59 | $38.59 – $38.59 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $179.10 | $179.10 | $11.53 – $346.66 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $263.48 | $263.48 | $16.97 – $509.98 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $279.84 | $279.84 | $18.02 – $541.66 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $279.84 | $279.84 | $18.02 – $541.66 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $279.84 | $279.84 | $18.02 – $541.66 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $279.84 | $279.84 | $18.02 – $541.66 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $307.83 | $307.83 | $19.82 – $595.83 |
| 9 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $312.47 | $312.47 | $20.12 – $604.82 |
| 10 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $333.28 | $333.28 | $21.46 – $645.09 |
| 11 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $349.91 | $349.91 | $22.53 – $677.28 |
| 12 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $380.69 | $380.69 | $24.51 – $736.86 |
| 13 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $383.33 | $383.33 | $24.68 – $741.97 |
| 14 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $416.60 | $416.60 | $26.83 – $806.36 |
| 15 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $416.60 | $416.60 | $26.83 – $806.36 |
| 16 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $416.60 | $416.60 | $26.83 – $806.36 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $461.74 | $461.74 | $29.73 – $893.74 |
| 18 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $470.45 | $470.45 | $30.29 – $910.60 |
| 19 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $470.45 | $470.45 | $30.29 – $910.60 |
| 20 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $479.43 | $479.43 | $30.87 – $927.98 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $486.29 | $486.29 | $31.31 – $941.26 |
| 22 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $486.29 | $486.29 | $31.31 – $941.26 |
| 23 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $541.66 | $541.66 | $541.66 – $541.66 |
| 24 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $562.10 | $562.10 | $562.10 – $562.10 |
Last updated: Mar 2, 2026
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