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 72100 DX- L-SPINE 2/3 VWS
San Antonio, TX
See all hospitals reporting CPT 72100 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $135 is 7% below the median hospital's median price ($144), higher than 46% 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: 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 | $33.08 | $33.08 | $33.08 – $33.08 |
| 2 | UnitedHealthcare star km fee schedule · outpatient | $33.08 | $33.08 | $33.08 – $33.08 |
| 3 | UnitedHealthcare star plus km fee schedule · outpatient | $33.08 | $33.08 | $33.08 – $33.08 |
| 4 | Humana choicecare fee schedule · outpatient | $64.28 | $64.28 | $64.28 – $64.28 |
| 5 | Aetna new business fee schedule · outpatient | $64.91 | $64.91 | $64.91 – $64.91 |
| 6 | Cigna new business fee schedule · outpatient | $69.88 | $69.88 | $69.88 – $69.88 |
| 7 | Aetna epo fee schedule · outpatient | $72.12 | $72.12 | $72.12 – $72.12 |
| 8 | Aetna hmo fee schedule · outpatient | $72.12 | $72.12 | $72.12 – $72.12 |
| 9 | Aetna pos fee schedule · outpatient | $72.12 | $72.12 | $72.12 – $72.12 |
| 10 | Aetna ppo fee schedule · outpatient | $72.12 | $72.12 | $72.12 – $72.12 |
| 11 | Cigna ppo fee schedule · outpatient | $88.50 | $88.50 | $88.50 – $88.50 |
| 12 | Aetna mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 13 | Bcbs Tx mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 14 | Humana gold choice mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 15 | Humana gold plus mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 16 | Molina medicare adv mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 18 | WellCare mm fee schedule · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 19 | Devoted mm fee schedule · outpatient | $107.84 | $107.84 | $107.84 – $107.84 |
| 20 | Aetna chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 21 | Aetna star km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 22 | Bcbs Tx star chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 23 | Molina chip km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 24 | Molina star plus km fee schedule · outpatient | $134.67 | $134.67 | $134.67 – $134.67 |
| 25 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $346.33 | $346.33 | $346.33 – $346.33 |
Last updated: Jan 13, 2026
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