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 4 Views
Sioux Center, IA
See all hospitals reporting CPT 72110 →Price type
Sioux Center Health’s median price of $91 is 44% below the median hospital's median price ($161), higher than 11% of the 2,619 hospitals reporting CPT 72110. 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 | $21.70 | $21.70 | $21.70 – $21.70 |
| 2 | UnitedHealthcare com fee schedule · both | $24.29 | $24.29 | $24.29 – $24.29 |
| 3 | Wellmark ppo fee schedule · both | $25.50 | $25.50 | $25.50 – $25.50 |
| 4 | Medica com fee schedule · both | $27.44 | $27.44 | $27.44 – $27.44 |
| 5 | Medica ind fee schedule · both | $27.44 | $27.44 | $27.44 – $27.44 |
| 6 | Healthpartners com fee schedule · both | $27.93 | $27.93 | $27.93 – $27.93 |
| 7 | Medica com fee schedule · outpatient | $67.44 | $67.44 | $67.44 – $67.44 |
| 8 | Medica ind fee schedule · outpatient | $67.44 | $67.44 | $67.44 – $67.44 |
| 9 | Wellmark hmo case rate · outpatient | $114.03 | $114.03 | $114.03 – $114.03 |
| 10 | Wellmark ppo case rate · outpatient | $114.03 | $114.03 | $114.03 – $114.03 |
| 11 | Medica ind percent of total billed charges · inpatientfrom % of charges | $150.80 | $150.80 | $150.80 – $150.80 |
| 12 | Medica com percent of total billed charges · inpatientfrom % of charges | $179.10 | $179.10 | $179.10 – $179.10 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $197.90 | $197.90 | $197.90 – $197.90 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $197.90 | $197.90 | $197.90 – $197.90 |
| 15 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $213.44 | $213.44 | $213.44 – $213.44 |
| 16 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $213.44 | $213.44 | $213.44 – $213.44 |
Last updated: Apr 1, 2026
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