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, 2/3 VW
Philadelphia, PA
See all hospitals reporting CPT 72100 →Price type
Temple University Hospital, Inc.- Main Campus’s median price of $121 is 16% below the median hospital's median price ($144), higher than 37% 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: 10 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Amerihealth Caritas transplant facility · fee schedule · outpatient | $39.04 | $39.04 | $39.04 – $39.04 |
| 2 | Bcbs Nj indemnity facility · fee schedule · outpatient | $62.04 | $62.04 | $62.04 – $62.04 |
| 3 | Bcbs Nj managed care facility · fee schedule · outpatient | $62.04 | $62.04 | $62.04 – $62.04 |
| 4 | Bcbs Nj ppo facility · fee schedule · outpatient | $62.04 | $62.04 | $62.04 – $62.04 |
| 5 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 6 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 7 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 8 | Humana medicare advantage facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 9 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 10 | Highmark medicare advantage facility · fee schedule · outpatient | $112.09 | $112.09 | $112.09 – $112.09 |
| 11 | Aetna coventry facility · fee schedule · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 12 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $115.38 | $115.38 | $115.38 – $115.38 |
| 13 | Clover medicare advantage facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $118.68 | $118.68 | $118.68 – $118.68 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $126.88 | $126.88 | $126.88 – $126.88 |
| 16 | Cigna commercial facility · fee schedule · outpatient | $144.96 | $144.96 | $144.96 – $144.96 |
| 17 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $164.84 | $164.84 | $164.84 – $164.84 |
| 18 | Bcbs Nj workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $203.90 | $203.90 | $203.90 – $203.90 |
| 19 | Bcbs Nj workers' comp facility · percent of total billed charges · inpatientfrom % of charges | $208.13 | $208.13 | $208.13 – $208.13 |
| 20 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $228.80 | $228.80 | $228.80 – $228.80 |
| 21 | Bcbs Pa temple member facility · fee schedule · outpatient | $228.80 | $228.80 | $228.80 – $228.80 |
| 22 | Bcbs Pa indemnity facility · fee schedule · outpatient | $234.04 | $234.04 | $234.04 – $234.04 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $299.40 | $299.40 | $299.40 – $299.40 |
| 24 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $299.40 | $299.40 | $299.40 – $299.40 |
| 25 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $299.40 | $299.40 | $299.40 – $299.40 |
Last updated: Apr 13, 2026
See Lumbosacral spine X-ray, 2 to 3 views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.