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
Ct chest spine w-o dye
Philadelphia, PA
See all hospitals reporting CPT 72128 →Price type
Thomas Jefferson University Hospital, Inc.’s median price of $102 is 70% below the median hospital's median price ($334), higher than 4% 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: 12 payers, 19 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 | Optum jcc001_jcc002 va ccn facility · fee schedule · outpatient | $96.67 | $96.67 | $96.67 – $96.67 |
| 2 | Tricare jcc001_jcc002 military facility · fee schedule · outpatient | $96.67 | $96.67 | $96.67 – $96.67 |
| 3 | Humana jcc001_jcc002 medicare facility · fee schedule · outpatient | $98.60 | $98.60 | $98.60 – $98.60 |
| 4 | UnitedHealthcare medicare aarp facility · fee schedule · outpatient | $98.60 | $98.60 | $98.60 – $98.60 |
| 5 | UnitedHealthcare medicare isnp facility · fee schedule · outpatient | $98.60 | $98.60 | $98.60 – $98.60 |
| 6 | Cigna Healthspring jcc001_jcc002 medicare facility · fee schedule · outpatient | $100.54 | $100.54 | $100.54 – $100.54 |
| 7 | Devoted jcc001_jcc002 medicare facility · fee schedule · outpatient | $101.50 | $101.50 | $101.50 – $101.50 |
| 8 | Aetna jcc001_jcc002 medicare facility · fee schedule · outpatient | $102.47 | $102.47 | $102.47 – $102.47 |
| 9 | UnitedHealthcare medicare group retiree facility · fee schedule · outpatient | $104.40 | $104.40 | $104.40 – $104.40 |
| 10 | Highmark jcc001_jcc002 medicare facility · fee schedule · outpatient | $113.10 | $113.10 | $113.10 – $113.10 |
| 11 | Ambetter jcc001_jcc002 comm exch facility · fee schedule · outpatient | $140.17 | $140.17 | $140.17 – $140.17 |
| 12 | Aetna Better Health jcc001_jcc002 chip facility · fee schedule · outpatient | $171.71 | $203.61 | $171.71 – $267.41 |
| 13 | Cigna jcc001_jcc002 commercial facility · fee schedule · outpatient | $257.05 | $257.05 | $257.05 – $257.05 |
| 14 | Cigna jcc001_jcc002 ppo facility · fee schedule · outpatient | $308.82 | $308.82 | $308.82 – $308.82 |
| 15 | Aetna commercial pebtf facility · fee schedule · outpatient | $586.99 | $586.99 | $586.99 – $586.99 |
| 16 | Aetna commercial facility · fee schedule · outpatient | $691.20 | $691.20 | $691.20 – $691.20 |
| 17 | Blue Cross Blue Shield commercial hmo facility · fee schedule · outpatient | $1,093 | $1,093 | $1,093 – $1,093 |
| 18 | Blue Cross Blue Shield jcc001_ jcc002 indemnity facility · fee schedule · outpatient | $1,093 | $1,093 | $1,093 – $1,093 |
| 19 | Blue Cross Blue Shield jcc001_jcc002 ppo facility · fee schedule · outpatient | $1,093 | $1,093 | $1,093 – $1,093 |
Last updated: Mar 18, 2026
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.