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 LUMBO-SACRAL SPINE, MIN 4 V'S
Philadelphia, PA
See all hospitals reporting CPT 72110 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $112 is 31% below the median hospital's median price ($161), higher than 26% 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: 7 payers, 23 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 community plan facility · fee schedule · outpatient | $30.60 | $30.60 | $30.60 – $30.60 |
| 2 | UnitedHealthcare chip facility · fee schedule · outpatient | $33.75 | $33.75 | $33.75 – $33.75 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $56.18 | $56.18 | $56.18 – $56.18 |
| 4 | Bcbs Nj indemnity facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 5 | Bcbs Nj managed care facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 6 | Bcbs Nj ppo facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 7 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 8 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 10 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $107.41 | $107.41 | $107.41 – $107.41 |
| 11 | Highmark medicare advantage facility · fee schedule · outpatient | $109.56 | $109.56 | $109.56 – $109.56 |
| 12 | Humana medicare advantage facility · fee schedule · outpatient | $110.63 | $110.63 | $110.63 – $110.63 |
| 13 | Cigna medicare hmo facility · fee schedule · outpatient | $111.71 | $111.71 | $111.71 – $111.71 |
| 14 | Cigna medicare ppo facility · fee schedule · outpatient | $111.71 | $111.71 | $111.71 – $111.71 |
| 15 | Aetna medicare advantage facility · fee schedule · outpatient | $116.00 | $116.00 | $116.00 – $116.00 |
| 16 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $134.80 | $134.80 | $134.80 – $134.80 |
| 17 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $141.89 | $141.89 | $141.89 – $141.89 |
| 18 | Bcbs Pa indemnity facility · fee schedule · outpatient | $299.12 | $299.12 | $299.12 – $299.12 |
| 19 | Highmark commercial facility · fee schedule · outpatient | $342.23 | $342.23 | $342.23 – $342.23 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,127 | $1,127 | $1,127 – $1,127 |
| 21 | UnitedHealthcare commercial facility · per diem · outpatient | $1,252 | $1,252 | $1,252 – $1,252 |
| 22 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $1,382 | $1,382 | $1,382 – $1,382 |
| 23 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $1,382 | $1,382 | $1,382 – $1,382 |
Last updated: Apr 8, 2026
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