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
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $693 is 330% above the median hospital's median price ($161), higher than 94% 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: 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 | 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 | Cigna cigna new business facility · fee schedule · outpatient | $104.45 | $104.45 | $104.45 – $104.45 |
| 5 | Cigna cigna facility · fee schedule · outpatient | $107.58 | $107.58 | $107.58 – $107.58 |
| 6 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 7 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $109.35 | $109.35 | $109.35 – $109.35 |
| 8 | Medicare medicare facility · fee schedule · outpatient | $109.35 | $109.35 | $109.35 – $109.35 |
| 9 | Tricare tricare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 10 | Highmark highmark medicare advantage facility · other · outpatient | $111.54 | $111.54 | $111.54 – $111.54 |
| 11 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $112.63 | $112.63 | $112.63 – $112.63 |
| 12 | Humana humana medicare facility · fee schedule · outpatient | $112.63 | $112.63 | $112.63 – $112.63 |
| 13 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $115.91 | $115.91 | $115.91 – $115.91 |
| 14 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $115.91 | $115.91 | $115.91 – $115.91 |
| 15 | Clover clover health plan facility · other · outpatient | $118.10 | $118.10 | $118.10 – $118.10 |
| 16 | Aetna aetna commercial facility · fee schedule · outpatient | $173.36 | $173.36 | $173.36 – $173.36 |
| 17 | Bcbs Nj horizon blue cross of nj-indemnity facility · other · outpatient | $184.64 | $184.64 | $184.64 – $184.64 |
| 18 | Bcbs Nj horizon blue cross of nj-ppo facility · other · outpatient | $184.64 | $184.64 | $184.64 – $184.64 |
| 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 | Optum optum urn-transplant commercial facility · other · outpatient | $546.75 | $546.75 | $546.75 – $546.75 |
| 22 | Blue Cross Blue Shield ibc traditional facility · fee schedule · outpatient | $691.78 | $691.78 | $691.78 – $691.78 |
| 23 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $738.11 | $738.11 | $738.11 – $738.11 |
| 24 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $845.90 | $845.90 | $845.90 – $845.90 |
| 25 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $913.50 | $913.50 | $913.50 – $913.50 |
Last updated: Mar 19, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.