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 CT T-Spine WO/Contrast
San Angelo, TX
See all hospitals reporting CPT 72128 →Price type
Shannon Medical Center’s median price of $1.4k is 310% above the median hospital's median price ($334), higher than 83% of the 2,605 hospitals reporting CPT 72128. 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, 18 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 facility · case rate · outpatient | $99.85 | $99.85 | $99.85 – $99.85 |
| 2 | Molina managed medicaid facility · fee schedule · outpatient | $112.22 | $112.22 | $112.22 – $112.22 |
| 3 | Ambetter ppo facility · case rate · outpatient | $214.68 | $214.68 | $214.68 – $214.68 |
| 4 | Bcbs Tx hmo facility · fee schedule · outpatient | $440.47 | $440.47 | $440.47 – $440.47 |
| 5 | Bcbs Tx bav facility · fee schedule · outpatient | $465.13 | $465.13 | $465.13 – $465.13 |
| 6 | Bcbs Tx ppo facility · fee schedule · outpatient | $465.13 | $465.13 | $465.13 – $465.13 |
| 7 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,076 | $3,076 | $3,076 – $3,076 |
| 8 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,076 | $3,076 | $3,076 – $3,076 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,356 | $3,356 | $3,356 – $3,356 |
| 10 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $3,496 | $3,496 | $3,496 – $3,496 |
| 11 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $3,496 | $3,496 | $3,496 – $3,496 |
| 12 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,496 | $3,496 | $3,496 – $3,496 |
| 13 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,496 | $3,496 | $3,496 – $3,496 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,496 | $3,496 | $3,496 – $3,496 |
| 15 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,636 | $3,636 | $3,636 – $3,636 |
| 16 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,636 | $3,636 | $3,636 – $3,636 |
| 17 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,729 | $3,729 | $3,729 – $3,729 |
| 18 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,729 | $3,729 | $3,729 – $3,729 |
Last updated: Dec 8, 2025
See CT scan of chest and spine without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.