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 MATERIAL
Monroe, NC
See all hospitals reporting CPT 72128 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $441 is 32% above the median hospital's median price ($334), higher than 56% 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: 14 payers, 49 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 | Cigna Healthspring medicare advantage fee schedule · both | $76.30 | $80.19 | $43.99 – $120.29 |
| 2 | Humana medicare advantage fee schedule · both | $77.83 | $81.80 | $44.87 – $122.70 |
| 3 | Aetna medicare advantage fee schedule · both | $78.97 | $83.00 | $45.53 – $124.50 |
| 4 | UnitedHealthcare medicare advantage case rate · both | $79.19 | $83.23 | $45.66 – $124.84 |
| 5 | Humana medicare advantage fee schedule · outpatient | $103.16 | $103.16 | $103.16 – $103.16 |
| 6 | Aetna medicare advantage fee schedule · outpatient | $104.68 | $104.68 | $104.68 – $104.68 |
| 7 | Cigna Healthspring medicare advantage fee schedule · outpatient | $106.20 | $106.20 | $106.20 – $106.20 |
| 8 | UnitedHealthcare medicare advantage fee schedule · outpatient | $106.51 | $106.51 | $106.51 – $106.51 |
| 9 | Amerihealth Caritas managed medicaid fee schedule · both | $135.61 | $135.61 | $48.55 – $222.67 |
| 10 | UnitedHealthcare managed medicaid fee schedule · both | $135.61 | $135.61 | $48.55 – $222.67 |
| 11 | WellCare managed medicaid fee schedule · both | $135.61 | $135.61 | $48.55 – $222.67 |
| 12 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $372.72 | $372.72 | $372.72 – $372.72 |
| 13 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $373.57 | $373.57 | $373.57 – $373.57 |
| 14 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $380.70 | $380.70 | $380.70 – $380.70 |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $382.13 | $382.13 | $382.13 – $382.13 |
| 16 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $484.79 | $484.79 | $484.79 – $484.79 |
| 17 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $637.93 | $637.93 | $637.93 – $637.93 |
| 18 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $755.70 | $755.70 | $755.70 – $755.70 |
| 19 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $850.09 | $850.09 | $850.09 – $850.09 |
| 20 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $864.07 | $864.07 | $864.07 – $864.07 |
| 21 | Aetna north carolina preferred plus commercial case rate · outpatient | $906.00 | $906.00 | $906.00 – $906.00 |
| 22 | Aetna broad network case rate · outpatient | $1,020 | $1,020 | $1,020 – $1,020 |
| 23 | Cigna hmo-ppo managed care case rate · outpatient | $1,023 | $1,023 | $1,023 – $1,023 |
| 24 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $1,035 | $1,035 | $1,035 – $1,035 |
| 25 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $1,132 | $1,132 | $1,132 – $1,132 |
Last updated: Dec 4, 2025
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.