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
SPINE LUMBOSACRAL 2 OR 3 VIEWS
Watertown, NY
See all hospitals reporting CPT 72100 →Price type
Samaritan Medical Center’s median price of $131 is 10% below the median hospital's median price ($144), higher than 42% 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: 4 payers, 19 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 | Excellus managed medicaid facility · other · inpatient | $12.86 | $12.86 | $12.86 – $12.86 |
| 2 | Excellus managed medicaid facility · other · outpatient | $12.86 | $12.86 | $12.86 – $12.86 |
| 3 | WellCare medicare advantage professional · fee schedule · both | $28.16 | $25.61 | $10.10 – $38.58 |
| 4 | Excellus commercial professional · fee schedule · both | $51.39 | $51.39 | $51.39 – $51.39 |
| 5 | Aetna medicare advantage facility · other · inpatient | $105.66 | $105.66 | $105.66 – $105.66 |
| 6 | WellCare medicare advantage facility · other · inpatient | $125.84 | $125.84 | $125.84 – $125.84 |
| 7 | Excellus medicare advantage facility · case rate · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 8 | WellCare medicare advantage facility · case rate · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 9 | Aetna medicare advantage facility · case rate · outpatient | $133.11 | $133.11 | $133.11 – $133.11 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $134.42 | $134.42 | $134.42 – $134.42 |
| 11 | UnitedHealthcare managed medicaid facility · other · inpatient | $134.77 | $134.77 | $134.77 – $134.77 |
| 12 | UnitedHealthcare managed medicaid facility · other · outpatient | $134.77 | $134.77 | $134.77 – $134.77 |
| 13 | UnitedHealthcare medicare advantage facility · other · inpatient | $138.81 | $138.81 | $138.81 – $138.81 |
| 14 | Excellus commercial facility · other · inpatient | $247.28 | $247.28 | $247.28 – $247.28 |
| 15 | Aetna commercial facility · other · inpatient | $269.78 | $269.78 | $269.78 – $269.78 |
| 16 | Excellus medicare advantage facility · other · inpatient | $270.07 | $270.07 | $270.07 – $270.07 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $344.47 | $344.47 | $337.88 – $351.05 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $344.47 | $344.47 | $337.88 – $351.05 |
| 19 | Excellus commercial facility · case rate · outpatient | $599.01 | $599.01 | $599.01 – $599.01 |
Last updated: Feb 2, 2026
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