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 >= 4 Views|PROFESSIONAL COMPONENT
Troy, NY
See all hospitals reporting CPT 72110 →Price type
Samaritan Hospital’s median price of $131 is 19% below the median hospital's median price ($161), higher than 37% 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: 34 payers, 108 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 | $24.91 | $24.91 | $24.91 – $24.91 |
| 2 | Humana tricare professional · fee schedule · inpatient | $28.90 | $28.90 | $11.54 – $46.25 |
| 3 | Humana tricare professional · fee schedule · outpatient | $28.90 | $28.90 | $11.54 – $46.25 |
| 4 | Tricare tricare professional · fee schedule · inpatient | $28.90 | $28.90 | $11.54 – $46.25 |
| 5 | Tricare tricare professional · fee schedule · outpatient | $28.90 | $28.90 | $11.54 – $46.25 |
| 6 | Anthem empire medicaid facility · fee schedule · both | $32.12 | $32.12 | $32.12 – $32.12 |
| 7 | Excellus empire medicaid facility · fee schedule · both | $32.12 | $32.12 | $32.12 – $32.12 |
| 8 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $68.18 | $68.18 | $68.18 – $68.18 |
| 9 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $68.18 | $68.18 | $68.18 – $68.18 |
| 10 | Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 11 | Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 12 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 13 | Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 14 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 15 | Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 16 | Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 17 | Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 18 | Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 19 | Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 20 | Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 21 | First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 22 | Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 23 | Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 24 | Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
| 25 | Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges | $82.00 | $82.00 | $33.00 – $131.00 |
Last updated: Mar 31, 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.