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 LUMBOSACRAL 2 OR 3 VIEWS - TECH
Aiea, HI
See all hospitals reporting CPT 72100 →Price type
Pali Momi Medical Center’s median price of $104 is 28% below the median hospital's median price ($144), higher than 22% 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: 3 payers, 4 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 | UnitedHealthcare all products facility · fee schedule · outpatient | $21.96 | $21.96 | $21.96 – $21.96 |
| 2 | Kaiser all products facility · percent of total billed charges · outpatientfrom % of charges | $332.80 | $332.80 | $332.80 – $332.80 |
| 3 | MultiPlan all products facility · percent of total billed charges · inpatientfrom % of charges | $332.80 | $332.80 | $332.80 – $332.80 |
| 4 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $353.60 | $353.60 | $353.60 – $353.60 |
Last updated: Feb 12, 2026
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