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
L Spine, Min of 4 Views
Sayre, PA
See all hospitals reporting CPT 72110 →Price type
Robert Packer Hospital’s median price of $117 is 27% below the median hospital's median price ($161), higher than 29% 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: 7 payers, 25 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 | Blue Cross Blue Shield excellus facility · fee schedule · both | $107.32 | $107.32 | $107.32 – $107.32 |
| 2 | Blue Cross Blue Shield excellus facility · fee schedule · outpatient | $107.32 | $107.32 | $107.32 – $107.32 |
| 3 | Blue Cross Blue Shield highmark ppo facility · fee schedule · both | $107.32 | $107.32 | $107.32 – $107.32 |
| 4 | Blue Cross Blue Shield highmark ppo facility · fee schedule · outpatient | $107.32 | $107.32 | $107.32 – $107.32 |
| 5 | Tricare medicare advantage facility · other · outpatient | $110.89 | $110.89 | $110.89 – $110.89 |
| 6 | UnitedHealthcare medicare advantage facility · other · outpatient | $110.89 | $110.89 | $110.89 – $110.89 |
| 7 | WellCare fidelis medicare advantage facility · other · outpatient | $110.89 | $110.89 | $110.89 – $110.89 |
| 8 | Aetna medicare advantage facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 9 | Blue Cross Blue Shield first priority facility · other · both | $116.80 | $116.80 | $116.80 – $116.80 |
| 10 | Blue Cross Blue Shield first priority facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 11 | Blue Cross Blue Shield highmark facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 12 | Blue Cross Blue Shield highmark indemnity facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 13 | Blue Cross Blue Shield highmark wholecare medicare advantage facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 14 | Humana medicare advantage facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 15 | Tricare martin point facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 16 | WellCare medicare advantage facility · other · outpatient | $116.80 | $116.80 | $116.80 – $116.80 |
| 17 | Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $162.27 | $162.27 | $162.27 – $162.27 |
| 18 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $162.27 | $162.27 | $162.27 – $162.27 |
| 19 | Blue Cross Blue Shield highmark facility · other · both | $354.29 | $354.29 | $354.29 – $354.29 |
| 20 | Blue Cross Blue Shield highmark indemnity facility · other · both | $354.29 | $354.29 | $354.29 – $354.29 |
| 21 | Cigna behavioral facility · percent of total billed charges · bothfrom % of charges | $567.18 | $567.18 | $567.18 – $567.18 |
| 22 | Cigna behavioral facility · percent of total billed charges · outpatientfrom % of charges | $567.18 | $567.18 | $567.18 – $567.18 |
| 23 | UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges | $785.51 | $785.51 | $785.51 – $785.51 |
| 24 | UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges | $785.51 | $785.51 | $785.51 – $785.51 |
| 25 | WellCare managed medicaid facility · other · outpatient | $1,076 | $1,076 | $1,076 – $1,076 |
Last updated: Mar 31, 2026
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