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
CT Thoracic Spine WO Contrast
Spencer, IA
See all hospitals reporting CPT 72128 →Price type
Spencer Municipal Hospital’s median price of $222 is 34% below the median hospital's median price ($334), higher than 39% 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: 5 payers, 22 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 medicare advantage case rate · inpatient | $90.06 | $90.06 | $90.06 – $90.06 |
| 2 | Aetna medicare advantage (hmo & ppo) case rate · inpatient | $100.06 | $100.06 | $100.06 – $100.06 |
| 3 | Aetna medicare advantage (hmo & ppo) case rate · outpatient | $100.06 | $100.06 | $100.06 – $100.06 |
| 4 | Humana medicare advantage (all) case rate · inpatient | $101.06 | $101.06 | $101.06 – $101.06 |
| 5 | Humana medicare advantage (all) case rate · outpatient | $101.06 | $101.06 | $101.06 – $101.06 |
| 6 | Wellmark medicare advantage case rate · inpatient | $101.06 | $101.06 | $101.06 – $101.06 |
| 7 | Wellmark medicare advantage case rate · outpatient | $101.06 | $101.06 | $101.06 – $101.06 |
| 8 | Molina medicaid case rate · inpatient | $101.74 | $101.74 | $101.74 – $101.74 |
| 9 | Molina medicaid case rate · outpatient | $101.74 | $101.74 | $101.74 – $101.74 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $130.08 | $130.08 | $130.08 – $130.08 |
| 11 | Wellmark hmo fee schedule · inpatient | $312.99 | $312.99 | $312.99 – $312.99 |
| 12 | Wellmark hmo fee schedule · outpatient | $312.99 | $312.99 | $312.99 – $312.99 |
| 13 | Wellmark ppo fee schedule · inpatient | $344.00 | $344.00 | $344.00 – $344.00 |
| 14 | Wellmark ppo fee schedule · outpatient | $344.00 | $344.00 | $344.00 – $344.00 |
| 15 | Aetna commercial hmo percent of total billed charges · inpatientfrom % of charges | $1,013 | $1,013 | $1,013 – $1,013 |
| 16 | Aetna commercial hmo percent of total billed charges · outpatientfrom % of charges | $1,013 | $1,013 | $1,013 – $1,013 |
| 17 | UnitedHealthcare all percent of total billed charges · inpatientfrom % of charges | $1,013 | $1,013 | $1,013 – $1,013 |
| 18 | UnitedHealthcare all percent of total billed charges · outpatientfrom % of charges | $1,013 | $1,013 | $1,013 – $1,013 |
| 19 | Aetna commercial ppo percent of total billed charges · inpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 20 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 21 | Humana commercial percent of total billed charges · inpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
| 22 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $1,069 | $1,069 | $1,069 – $1,069 |
Last updated: Jan 1, 2026
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