CT scan of chest and spine without contrast dye at Saint Luke’s East Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT T Spine WO Contrast

Summit, MO

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How this price compares nationally

Saint Luke’s East Hospital’s median price of $1.0k is 202% above the median hospital's median price ($334), higher than 75% of the 2,605 hospitals reporting CPT 72128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72128 at Saint Luke’s East Hospital

Negotiated rates from the hospital’s own file: 6 payers, 65 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	Humana zzzhumana kansas city ppox [75002] fee schedule · both	$89.93	$89.93	$89.93 – $89.93
2	UnitedHealthcare uhc individual exchange benefit plan [30012] fee schedule · both	$114.42	$114.42	$114.42 – $114.42
3	Aetna zzzaetna carelink exchange [50016] fee schedule · both	$114.76	$114.76	$114.76 – $114.76
4	Cigna cigna connect epo exchange [70015] fee schedule · both	$118.06	$118.06	$118.06 – $118.06
5	Humana zzzhumana commercial ppo pos [75001] fee schedule · both	$147.15	$147.15	$147.15 – $147.15
6	Aetna aetna local [50005] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
7	Aetna aetna meritain local [50015] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
8	Aetna aetna meritain national [50001] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
9	Aetna aetna national [50006] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
10	Aetna aetna signature misc ppo [50010] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
11	Aetna aetna signatures luminare pob 2905 [50002] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
12	Aetna aetna signatures luminare pob 2920 [50000] fee schedule · both	$159.39	$159.39	$159.39 – $159.39
13	UnitedHealthcare uhc core essential [30018] fee schedule · both	$181.42	$181.42	$181.42 – $181.42
14	UnitedHealthcare uhc core essentials all savers [30019] fee schedule · both	$181.42	$181.42	$181.42 – $181.42
15	UnitedHealthcare uhc core umr [30020] fee schedule · both	$181.42	$181.42	$181.42 – $181.42
16	Cigna cigna bjc flex or hdhp [70017] fee schedule · both	$236.97	$236.97	$236.97 – $236.97
17	Blue Cross Blue Shield bc kc ucm kcmo blue select plus [40029] fee schedule · both	$241.26	$241.26	$241.26 – $241.26
18	Blue Cross Blue Shield bc kc hpn [40033] fee schedule · both	$250.23	$250.23	$250.23 – $250.23
19	Blue Cross Blue Shield bc out of area hpn [40034] fee schedule · both	$250.23	$250.23	$250.23 – $250.23
20	Blue Cross Blue Shield bc kc preferred care blue exchange [40016] fee schedule · both	$255.91	$255.91	$255.91 – $255.91
21	Blue Cross Blue Shield bc kc federal [40012] fee schedule · both	$283.94	$283.94	$283.94 – $283.94
22	Blue Cross Blue Shield bc kc preferred care blue [40018] fee schedule · both	$283.94	$283.94	$283.94 – $283.94
23	Blue Cross Blue Shield bc out of area pref care blue ppo [40011] fee schedule · both	$283.94	$283.94	$283.94 – $283.94
24	Blue Cross Blue Shield zzzbc preferred care blue slhs [40027] fee schedule · both	$451.77	$451.77	$451.77 – $451.77
25	Cigna cigna indemnity [70004] fee schedule · both	$637.56	$637.56	$637.56 – $637.56

Page 1 of 3 · 65 rates

Last updated: Dec 31, 2025

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