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
X-RAY EXAM L-S SPINE 2/3 VWS
Monticello, UT
See all hospitals reporting CPT 72100 →Price type
San Juan Hospital’s median price of $41 is 71% below the median hospital's median price ($144), higher than 6% 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: 5 payers, 12 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 medicare advantage professional · fee schedule · outpatient | $30.54 | $27.61 | $10.87 – $41.41 |
| 2 | Tricare east professional · fee schedule · outpatient | $30.54 | $27.61 | $10.87 – $41.41 |
| 3 | Tricare life professional · fee schedule · outpatient | $30.54 | $27.61 | $10.87 – $41.41 |
| 4 | Tricare west professional · fee schedule · outpatient | $30.54 | $27.61 | $10.87 – $41.41 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $41.41 | $41.41 | $41.41 – $41.41 |
| 6 | Tricare east facility · fee schedule · outpatient | $41.41 | $41.41 | $41.41 – $41.41 |
| 7 | Tricare life facility · fee schedule · outpatient | $41.41 | $41.41 | $41.41 – $41.41 |
| 8 | Tricare west facility · fee schedule · outpatient | $41.41 | $41.41 | $41.41 – $41.41 |
| 9 | Cigna all facility · percent of total billed charges · outpatientfrom % of charges | $407.82 | $407.82 | $407.82 – $407.82 |
| 10 | UnitedHealthcare all facility · percent of total billed charges · outpatientfrom % of charges | $407.82 | $407.82 | $407.82 – $407.82 |
| 11 | Aetna all facility · percent of total billed charges · outpatientfrom % of charges | $430.47 | $430.47 | $430.47 – $430.47 |
| 12 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $445.57 | $445.57 | $445.57 – $445.57 |
Last updated: Apr 13, 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.