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
RAD EXAM SPINE LUMB 2 OR 3 VWS
Sheldon, IA
See all hospitals reporting CPT 72100 →Price type
Sanford Sheldon Medical Center’s median price of $327 is 126% above the median hospital's median price ($144), higher than 82% 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: 8 payers, 29 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 | Wellmark hmo other · outpatient | $103.51 | $103.51 | $103.51 – $103.51 |
| 2 | Wellmark ppo other · outpatient | $103.51 | $103.51 | $103.51 – $103.51 |
| 3 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $147.63 | $147.63 | $147.63 – $147.63 |
| 4 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $158.51 | $158.51 | $158.51 – $158.51 |
| 5 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $160.06 | $160.06 | $160.06 – $160.06 |
| 6 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $160.06 | $160.06 | $160.06 – $160.06 |
| 7 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $160.06 | $160.06 | $160.06 – $160.06 |
| 8 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $259.00 | $259.00 | $259.00 – $259.00 |
| 9 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $269.36 | $269.36 | $269.36 – $269.36 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $277.54 | $277.54 | $277.54 – $277.54 |
| 11 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $277.54 | $277.54 | $277.54 – $277.54 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $277.54 | $277.54 | $277.54 – $277.54 |
| 13 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $277.54 | $277.54 | $277.54 – $277.54 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $326.50 | $326.50 | $326.50 – $326.50 |
| 15 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $326.50 | $326.50 | $326.50 – $326.50 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $326.50 | $326.50 | $326.50 – $326.50 |
| 17 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $326.50 | $326.50 | $326.50 – $326.50 |
| 18 | Medica choice percent of total billed charges · inpatientfrom % of charges | $427.35 | $427.35 | $427.35 – $427.35 |
| 19 | Medica choice percent of total billed charges · outpatientfrom % of charges | $427.35 | $427.35 | $427.35 – $427.35 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $432.53 | $432.53 | $432.53 – $432.53 |
| 21 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $432.53 | $432.53 | $432.53 – $432.53 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $450.14 | $450.14 | $450.14 – $450.14 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $450.14 | $450.14 | $450.14 – $450.14 |
| 24 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $455.11 | $455.11 | $455.11 – $455.11 |
| 25 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $455.11 | $455.11 | $455.11 – $455.11 |
Last updated: Mar 4, 2026
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