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 Women & Families Hospital’s median price of $115 is 28% below the median hospital's median price ($161), higher than 28% 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: 9 payers, 24 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 | Bcbs Nj indemnity facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 2 | Bcbs Nj managed care facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 3 | Bcbs Nj ppo facility · fee schedule · outpatient | $77.55 | $77.55 | $77.55 – $77.55 |
| 4 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 5 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 6 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 7 | Humana medicare advantage facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 8 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 9 | Highmark medicare advantage facility · fee schedule · outpatient | $112.09 | $112.09 | $112.09 – $112.09 |
| 10 | Aetna coventry facility · fee schedule · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 11 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $115.38 | $115.38 | $115.38 – $115.38 |
| 12 | Clover medicare advantage facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 13 | Aetna medicare advantage facility · fee schedule · outpatient | $118.68 | $118.68 | $118.68 – $118.68 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $144.96 | $144.96 | $144.96 – $144.96 |
| 15 | Oscar pennsylvania health plan facility · fee schedule · outpatient | $164.84 | $164.84 | $164.84 – $164.84 |
| 16 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $309.19 | $309.19 | $309.19 – $309.19 |
| 17 | Bcbs Pa temple member facility · fee schedule · outpatient | $309.19 | $309.19 | $309.19 – $309.19 |
| 18 | Bcbs Pa indemnity facility · fee schedule · outpatient | $316.26 | $316.26 | $316.26 – $316.26 |
| 19 | Highmark commercial facility · fee schedule · outpatient | $350.13 | $350.13 | $350.13 – $350.13 |
| 20 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $408.61 | $408.61 | $408.61 – $408.61 |
| 21 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $408.61 | $408.61 | $408.61 – $408.61 |
| 22 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $408.61 | $408.61 | $408.61 – $408.61 |
| 23 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $516.46 | $516.46 | $516.46 – $516.46 |
| 24 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $516.46 | $516.46 | $516.46 – $516.46 |
Last updated: Apr 13, 2026
See X-ray of lower spine, 4 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.