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
HC 72040 DX- C-SPINE 2VW OR 3VW
San Antonio, TX
See all hospitals reporting CPT 72040 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $109 is 13% below the median hospital's median price ($125), higher than 40% of the 2,628 hospitals reporting CPT 72040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 35 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 chip km fee schedule · outpatient | $31.41 | $31.41 | $31.41 – $31.41 |
| 2 | UnitedHealthcare star km fee schedule · outpatient | $31.41 | $31.41 | $31.41 – $31.41 |
| 3 | UnitedHealthcare star plus km fee schedule · outpatient | $31.41 | $31.41 | $31.41 – $31.41 |
| 4 | Humana choicecare fee schedule · outpatient | $60.44 | $60.44 | $60.44 – $60.44 |
| 5 | Cigna new business fee schedule · outpatient | $63.63 | $63.63 | $63.63 – $63.63 |
| 6 | Aetna new business fee schedule · outpatient | $64.18 | $64.18 | $64.18 – $64.18 |
| 7 | Aetna epo fee schedule · outpatient | $71.31 | $71.31 | $71.31 – $71.31 |
| 8 | Aetna hmo fee schedule · outpatient | $71.31 | $71.31 | $71.31 – $71.31 |
| 9 | Aetna pos fee schedule · outpatient | $71.31 | $71.31 | $71.31 – $71.31 |
| 10 | Aetna ppo fee schedule · outpatient | $71.31 | $71.31 | $71.31 – $71.31 |
| 11 | Cigna ppo fee schedule · outpatient | $80.58 | $80.58 | $80.58 – $80.58 |
| 12 | Aetna mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 13 | Bcbs Tx mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 14 | Humana gold choice mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 15 | Humana gold plus mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 16 | Molina medicare adv mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 18 | WellCare mm fee schedule · outpatient | $82.68 | $82.68 | $82.68 – $82.68 |
| 19 | Devoted mm fee schedule · outpatient | $89.29 | $89.29 | $89.29 – $89.29 |
| 20 | Aetna chip km fee schedule · outpatient | $109.47 | $109.47 | $109.47 – $109.47 |
| 21 | Aetna star km fee schedule · outpatient | $109.47 | $109.47 | $109.47 – $109.47 |
| 22 | Bcbs Tx star chip km fee schedule · outpatient | $109.47 | $109.47 | $109.47 – $109.47 |
| 23 | Molina chip km fee schedule · outpatient | $109.47 | $109.47 | $109.47 – $109.47 |
| 24 | Molina star plus km fee schedule · outpatient | $109.47 | $109.47 | $109.47 – $109.47 |
| 25 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $246.61 | $246.61 | $246.61 – $246.61 |
Last updated: Jan 13, 2026
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