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 Minimum 4 V DR
Roswell, NM
See all hospitals reporting CPT 72110 →Price type
Roswell Hospital Corporation’s median price of $432 is 168% above the median hospital's median price ($161), higher than 83% 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: 9 payers, 21 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 | Molina node molina mcr adv facility · fee schedule · outpatient | $102.86 | $102.86 | $102.86 – $102.86 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $103.50 | $103.50 | $103.50 – $103.50 |
| 3 | Blue Cross Blue Shield node bcbs nm mcr adv facility · fee schedule · outpatient | $104.90 | $104.90 | $104.90 – $104.90 |
| 4 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $106.93 | $106.93 | $106.93 – $106.93 |
| 5 | Humana node humana mcr adv facility · fee schedule · outpatient | $106.93 | $106.93 | $106.93 – $106.93 |
| 6 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $106.93 | $106.93 | $106.93 – $106.93 |
| 7 | Blue Cross Blue Shield bcbs nm mcd facility · case rate · outpatient | $115.16 | $115.16 | $115.16 – $115.16 |
| 8 | Molina molina medicaid nm facility · case rate · outpatient | $120.92 | $120.92 | $120.92 – $120.92 |
| 9 | UnitedHealthcare uhc medicaid nm facility · other · outpatient | $126.97 | $126.97 | $126.97 – $126.97 |
| 10 | Molina node molina health exchange facility · fee schedule · outpatient | $282.56 | $282.56 | $282.56 – $282.56 |
| 11 | Blue Cross Blue Shield bcbs nm all facility · percent of total billed charges · outpatientfrom % of charges | $561.17 | $561.17 | $549.99 – $572.35 |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $611.57 | $611.57 | $599.38 – $623.75 |
| 13 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $611.57 | $611.57 | $599.38 – $623.75 |
| 14 | Blue Cross Blue Shield bcbs nm exchange facility · percent of total billed charges · outpatientfrom % of charges | $684.76 | $684.76 | $671.11 – $698.40 |
| 15 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $694.74 | $694.74 | $680.89 – $708.58 |
| 16 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $821.94 | $821.94 | $805.56 – $838.32 |
| 17 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $821.94 | $821.94 | $805.56 – $838.32 |
| 18 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $823.90 | $823.90 | $807.48 – $840.32 |
| 19 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $823.90 | $823.90 | $807.48 – $840.32 |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $851.30 | $851.30 | $834.33 – $868.26 |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $851.30 | $851.30 | $834.33 – $868.26 |
Last updated: Apr 1, 2026
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