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 LUMBOSACRAL SPINE MIN 4 VWS
Philadelphia, PA
See all hospitals reporting CPT 72110 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $310 is 93% above the median hospital's median price ($161), higher than 73% 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: 16 payers, 40 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 | Kaiser kaiser transplant medicaid facility · fee schedule · outpatient | $23.63 | $23.63 | $23.63 – $23.63 |
| 2 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $44.33 | $44.33 | $44.33 – $44.33 |
| 3 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $54.94 | $54.94 | $54.94 – $54.94 |
| 4 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $96.70 | $96.70 | $96.70 – $96.70 |
| 5 | Cigna cigna new business facility · fee schedule · outpatient | $104.45 | $104.45 | $104.45 – $104.45 |
| 6 | Cigna cigna facility · fee schedule · outpatient | $107.58 | $107.58 | $107.58 – $107.58 |
| 7 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 8 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 9 | Kaiser kaiser transplant medicare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 10 | Medicare medicare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 11 | Optum optum urn-transplant managed medicare facility · other · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 12 | Tricare tricare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 13 | Highmark highmark medicare advantage facility · other · outpatient | $112.09 | $112.09 | $112.09 – $112.09 |
| 14 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 15 | Humana humana medicare facility · other · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 16 | Devoted devoted health medicare advantage facility · other · outpatient | $115.38 | $115.38 | $115.38 – $115.38 |
| 17 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 18 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 19 | Clover clover health plan facility · other · outpatient | $118.68 | $118.68 | $118.68 – $118.68 |
| 20 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · other · outpatient | $184.64 | $184.64 | $184.64 – $184.64 |
| 21 | Oscar oscar health plan facility · other · outpatient | $186.81 | $186.81 | $186.81 – $186.81 |
| 22 | Aetna aetna commercial facility · fee schedule · outpatient | $204.41 | $204.41 | $204.41 – $204.41 |
| 23 | Highmark highmark facility · other · outpatient | $231.09 | $231.09 | $231.09 – $231.09 |
| 24 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $324.41 | $324.41 | $324.41 – $324.41 |
| 25 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $327.62 | $327.62 | $327.62 – $327.62 |
Last updated: Feb 10, 2026
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