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 T-Spine W/O Contrast
Manassas, VA
See all hospitals reporting CPT 72128 →Price type
University of Virginia Prince William Medical Center’s median price of $334 is about the same as the median hospital's median price ($334), higher than 50% 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: 10 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 | Tricare uvamc & uvachm & uvapw & uvahm - tricare fee schedule · both | $87.01 | $87.01 | $87.01 – $87.01 |
| 2 | Anthem uvapw - managed medicare (various) other · both | $108.16 | $108.16 | $108.16 – $108.16 |
| 3 | Cigna Healthspring uvapw - managed medicare (various) other · both | $108.16 | $108.16 | $108.16 – $108.16 |
| 4 | Kaiser uvapw - managed medicare (kaiser) other · both | $108.16 | $108.16 | $108.16 – $108.16 |
| 5 | UnitedHealthcare uvapw - managed medicare (various) other · both | $108.16 | $108.16 | $108.16 – $108.16 |
| 6 | Aetna uvapw - managed medicare - aetna other · both | $109.24 | $109.24 | $109.24 – $109.24 |
| 7 | Humana uvapw - managed medicare (humana) other · both | $110.33 | $110.33 | $110.33 – $110.33 |
| 8 | Anthem uvapw - anthem exchange other · both | $234.12 | $234.12 | $234.12 – $234.12 |
| 9 | Anthem uvapw - anthem (ppo par hmo) other · both | $334.47 | $334.47 | $334.47 – $334.47 |
| 10 | UnitedHealthcare uvapw - anthem (ppo par hmo) other · both | $334.47 | $334.47 | $334.47 – $334.47 |
| 11 | Cigna uvapw & uvahm - cigna (oap) fee schedule · both | $423.79 | $423.79 | $423.79 – $423.79 |
| 12 | Cigna cigna 182223 ppo [4000520] fee schedule · both | $478.89 | $478.89 | $478.89 – $478.89 |
| 13 | Cigna cigna nalc supplemental [4000510] fee schedule · both | $478.89 | $478.89 | $478.89 – $478.89 |
| 14 | Carefirst uvapw & uvahm - carefirst hmo fee schedule · both | $731.56 | $731.56 | $731.56 – $731.56 |
| 15 | Carefirst uvapw & uvahm - carefirst rpn fee schedule · both | $891.04 | $891.04 | $891.04 – $891.04 |
| 16 | Cigna cigna 188061 connect [4000513] case rate · both | $1,340 | $1,340 | $1,340 – $1,340 |
| 17 | Cigna uvapw & uvahm - cigna (ifp) case rate · both | $1,340 | $1,340 | $1,340 – $1,340 |
| 18 | UnitedHealthcare united exchange plan [4003231] per diem · both | $1,496 | $1,496 | $1,496 – $1,496 |
| 19 | MultiPlan multiplan generic [4003501] percent of total billed charges · bothfrom % of charges | $1,653 | $1,653 | $1,653 – $1,653 |
| 20 | UnitedHealthcare uvapw & uvahm - united (all payer) per diem · both | $1,660 | $1,660 | $1,660 – $1,660 |
| 21 | Cigna uvapw - evernorth (cigna bh) percent of total billed charges · bothfrom % of charges | $1,740 | $1,740 | $1,740 – $1,740 |
| 22 | Kaiser uvapw & uvahm - misc. (kaiser) percent of total billed charges · bothfrom % of charges | $1,958 | $1,958 | $1,958 – $1,958 |
| 23 | Aetna uvapw & uvahm - aetna per diem · both | $2,015 | $2,015 | $2,015 – $2,015 |
| 24 | UnitedHealthcare uvapw & uvahm - united (options ppo) per diem · both | $2,062 | $2,062 | $2,062 – $2,062 |
Last updated: Mar 24, 2026
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