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 Lumbosacral 2-3 Views
Sioux Center, IA
See all hospitals reporting CPT 72100 →Price type
Sioux Center Health’s median price of $109 is 24% below the median hospital's median price ($144), higher than 27% 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: 4 payers, 16 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 fee schedule · both | $18.30 | $18.30 | $18.30 – $18.30 |
| 2 | UnitedHealthcare com fee schedule · both | $20.95 | $20.95 | $20.95 – $20.95 |
| 3 | Wellmark ppo fee schedule · both | $21.50 | $21.50 | $21.50 – $21.50 |
| 4 | Medica com fee schedule · both | $23.02 | $23.02 | $23.02 – $23.02 |
| 5 | Medica ind fee schedule · both | $23.02 | $23.02 | $23.02 – $23.02 |
| 6 | Healthpartners com fee schedule · both | $24.05 | $24.05 | $24.05 – $24.05 |
| 7 | Medica com fee schedule · outpatient | $90.44 | $90.44 | $90.44 – $90.44 |
| 8 | Medica ind fee schedule · outpatient | $90.44 | $90.44 | $90.44 – $90.44 |
| 9 | Medica ind percent of total billed charges · inpatientfrom % of charges | $128.05 | $128.05 | $128.05 – $128.05 |
| 10 | Wellmark hmo case rate · outpatient | $140.39 | $140.39 | $140.39 – $140.39 |
| 11 | Wellmark ppo case rate · outpatient | $140.39 | $140.39 | $140.39 – $140.39 |
| 12 | Medica com percent of total billed charges · inpatientfrom % of charges | $152.08 | $152.08 | $152.08 – $152.08 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $168.04 | $168.04 | $168.04 – $168.04 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $168.04 | $168.04 | $168.04 – $168.04 |
| 15 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $181.24 | $181.24 | $181.24 – $181.24 |
| 16 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $181.24 | $181.24 | $181.24 – $181.24 |
Last updated: Apr 1, 2026
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