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 CERVICAL W/CONTRAST
Lititz, PA
See all hospitals reporting CPT 72126 →Price type
UPMC Lititz’s median price of $954 is 56% above the median hospital's median price ($611), higher than 69% of the 2,542 hospitals reporting CPT 72126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 20 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 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $340 | $340 | — | — | — | $340 – $340 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $358 | $358 | — | — | — | $358 – $358 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $367 | $367 | — | — | — | $367 – $367 |
| 7 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $432 | $432 | — | — | — | $432 – $432 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $624 | $624 | $432 | 69% | — | $191 – $1.1k |
| 9 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $807 | $807 | — | — | — | $807 – $807 |
| 10 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $848 | $848 | — | — | — | $848 – $848 |
| 11 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $960 | $960 | — | — | — | $960 – $960 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Highmark commercial facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Cigna commercial facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Mar 6, 2026
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