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 LUMBOSACRAL SPINE MIN 4 VWS
Philadelphia, PA
See all hospitals reporting CPT 72110 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $569 is 253% above the median hospital's median price ($161), higher than 90% 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: 14 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 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $44.33 | $44.33 | $44.33 – $44.33 |
| 2 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $54.94 | $54.94 | $54.94 – $54.94 |
| 3 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · other · outpatient | $61.55 | $61.55 | $61.55 – $61.55 |
| 4 | Bcbs Nj horizon blue cross of nj-indemnity facility · other · outpatient | $61.55 | $61.55 | $61.55 – $61.55 |
| 5 | Bcbs Nj horizon blue cross of nj-ppo facility · other · outpatient | $61.55 | $61.55 | $61.55 – $61.55 |
| 6 | Cigna cigna new business facility · fee schedule · outpatient | $104.45 | $104.45 | $104.45 – $104.45 |
| 7 | Cigna cigna facility · fee schedule · outpatient | $107.58 | $107.58 | $107.58 – $107.58 |
| 8 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 9 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $109.35 | $109.35 | $109.35 – $109.35 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $109.35 | $109.35 | $109.35 – $109.35 |
| 11 | Tricare tricare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 12 | Highmark highmark medicare advantage facility · other · outpatient | $111.54 | $111.54 | $111.54 – $111.54 |
| 13 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $112.63 | $112.63 | $112.63 – $112.63 |
| 14 | Humana humana medicare facility · other · outpatient | $112.63 | $112.63 | $112.63 – $112.63 |
| 15 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $115.91 | $115.91 | $115.91 – $115.91 |
| 16 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $115.91 | $115.91 | $115.91 – $115.91 |
| 17 | Clover clover health plan facility · other · outpatient | $118.10 | $118.10 | $118.10 – $118.10 |
| 18 | Aetna aetna commercial facility · fee schedule · outpatient | $169.22 | $169.22 | $169.22 – $169.22 |
| 19 | Oscar oscar health plan facility · other · outpatient | $185.89 | $185.89 | $185.89 – $185.89 |
| 20 | Highmark highmark facility · other · outpatient | $229.95 | $229.95 | $229.95 – $229.95 |
| 21 | Aetna aetna ppo facility · fee schedule · outpatient | $235.98 | $235.98 | $235.98 – $235.98 |
| 22 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $306.74 | $306.74 | $306.74 – $306.74 |
| 23 | Optum optum urn-transplant commercial facility · other · outpatient | $546.75 | $546.75 | $546.75 – $546.75 |
| 24 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $580.84 | $580.84 | $580.84 – $580.84 |
| 25 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $604.79 | $604.79 | $604.79 – $604.79 |
Last updated: Mar 20, 2026
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