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
PR Xr Lumbosacral Spine 2-3 Views|TECHNICAL COMPONENT
Troy, NY
See all hospitals reporting CPT 72100 →Price type
Samaritan Hospital’s median price of $68 is 53% below the median hospital's median price ($144), higher than 11% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 181 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 united healthcare medicaid harp chip facility · fee schedule · both | $12.45 | $12.45 | $12.45 – $12.45 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $12.45 | $12.45 | $12.45 – $12.45 |
| 3 | Anthem empire medicaid facility · fee schedule · both | $16.06 | $16.06 | $16.06 – $16.06 |
| 4 | Anthem empire medicaid facility · fee schedule · outpatient | $16.06 | $16.06 | $16.06 – $16.06 |
| 5 | Excellus empire medicaid facility · fee schedule · both | $16.06 | $16.06 | $16.06 – $16.06 |
| 6 | Excellus empire medicaid facility · fee schedule · outpatient | $16.06 | $16.06 | $16.06 – $16.06 |
| 7 | Humana tricare professional · fee schedule · inpatient | $25.57 | $23.52 | $9.71 – $35.28 |
| 8 | Tricare tricare professional · fee schedule · inpatient | $25.57 | $23.52 | $9.71 – $35.28 |
| 9 | Humana tricare professional · fee schedule · outpatient | $25.57 | $27.05 | $21.74 – $33.83 |
| 10 | Tricare tricare professional · fee schedule · outpatient | $25.57 | $27.05 | $21.74 – $33.83 |
| 11 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $28.22 | $28.22 | $23.93 – $32.51 |
| 12 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $31.09 | $31.09 | $23.93 – $38.24 |
| 13 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $34.09 | $34.09 | $34.09 – $34.09 |
| 14 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $34.09 | $34.09 | $34.09 – $34.09 |
| 15 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $34.09 | $34.09 | $34.09 – $34.09 |
| 16 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $34.09 | $34.09 | $34.09 – $34.09 |
| 17 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $42.32 | $42.32 | $42.32 – $42.32 |
| 18 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient | $42.32 | $42.32 | $42.32 – $42.32 |
| 19 | UnitedHealthcare uhc empire professional · fee schedule · outpatient | $44.84 | $44.84 | $36.77 – $52.91 |
| 20 | Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
| 21 | Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
| 22 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
| 23 | Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
| 24 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
| 25 | Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $47.86 | $47.86 | $28.00 – $67.72 |
Last updated: Mar 31, 2026
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.