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 Thoracic Spine W/O Contrast
Langhorne, PA
See all hospitals reporting CPT 72128 →Price type
St Mary Medical Center’s median price of $162 is 51% below the median hospital's median price ($334), higher than 26% 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: 9 payers, 30 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 | Blue Cross Blue Shield independence blue cross medicare adv facility · other · both | $112.71 | $112.71 | $112.71 – $112.71 |
| 2 | Blue Cross Blue Shield independence blue cross medicare adv facility · other · outpatient | $112.71 | $112.71 | $112.71 – $112.71 |
| 3 | Cigna cigna healthspring medicare advantage facility · other · both | $113.77 | $113.77 | $113.77 – $113.77 |
| 4 | Cigna cigna healthspring medicare advantage facility · other · outpatient | $113.77 | $113.77 | $113.77 – $113.77 |
| 5 | Devoted devoted health medicare advantage facility · other · both | $115.52 | $115.52 | $115.52 – $115.52 |
| 6 | Devoted devoted health medicare advantage facility · other · outpatient | $115.52 | $115.52 | $115.52 – $115.52 |
| 7 | Aetna aetna medicare advantage facility · other · both | $119.29 | $119.29 | $119.29 – $119.29 |
| 8 | Aetna aetna medicare advantage facility · other · outpatient | $119.29 | $119.29 | $119.29 – $119.29 |
| 9 | Highmark highmark wholecare medicare advantage facility · other · both | $129.61 | $129.61 | $129.61 – $129.61 |
| 10 | Highmark highmark wholecare medicare advantage facility · other · outpatient | $129.61 | $129.61 | $129.61 – $129.61 |
| 11 | Aetna aetna better health medicaid facility · fee schedule · outpatient | $131.37 | $131.37 | $131.37 – $131.37 |
| 12 | Highmark gateway health medicaid facility · fee schedule · both | $133.22 | $133.22 | $104.19 – $162.25 |
| 13 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · both | $148.78 | $148.78 | $148.78 – $148.78 |
| 14 | UnitedHealthcare uhc community plan medicaid facility · fee schedule · outpatient | $148.78 | $148.78 | $148.78 – $148.78 |
| 15 | Highmark gateway health medicaid facility · fee schedule · outpatient | $162.25 | $162.25 | $162.25 – $162.25 |
| 16 | Aetna aetna better health medicaid facility · fee schedule · both | $167.98 | $167.98 | $131.37 – $204.58 |
| 17 | Ambetter ambetter marketplace facility · other · both | $201.18 | $201.18 | $201.18 – $201.18 |
| 18 | Ambetter ambetter marketplace facility · other · outpatient | $201.18 | $201.18 | $201.18 – $201.18 |
| 19 | Oscar oscar medicare advantage facility · other · both | $202.87 | $202.87 | $202.87 – $202.87 |
| 20 | Oscar oscar medicare advantage facility · other · outpatient | $202.87 | $202.87 | $202.87 – $202.87 |
| 21 | Highmark highmark health plan facility · other · both | $304.76 | $304.76 | $304.76 – $304.76 |
| 22 | Highmark highmark health plan facility · other · outpatient | $304.76 | $304.76 | $304.76 – $304.76 |
| 23 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $898.01 | $898.01 | $898.01 – $898.01 |
| 24 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $1,065 | $1,065 | $1,065 – $1,065 |
| 25 | Cigna cigna exchange facility · per diem · both | $1,458 | $1,458 | $1,458 – $1,458 |
Last updated: Mar 31, 2026
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.