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
DORSAL MYELOGRAM-E
Washington, PA
See all hospitals reporting CPT 72255 →Price type
UPMC Washington’s median price of $753 is 9% below the median hospital's median price ($830), higher than 35% of the 1,782 hospitals reporting CPT 72255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Aetna chip/medicaid facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Aetna auto/workers compensation facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | $44 | 22% | — | $159 – $247 |
| 5 | Aetna cofinity/firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | $46 | 22% | — | $163 – $255 |
| 6 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | $60 | 22% | — | $214 – $334 |
| 7 | Highmark community blue medicare advantage/complete blue medicare advantage facility · fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 8 | Highmark freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $723 | $723 | — | — | — | $723 – $723 |
| 9 | Aetna advantra washington prime facility · fee schedule · outpatient | $753 | $753 | — | — | — | $753 – $753 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $761 | $761 | — | — | — | $761 – $761 |
| 11 | Humana medicare facility · fee schedule · outpatient | $761 | $761 | — | — | — | $761 – $761 |
| 12 | Highmark medicare facility · fee schedule · outpatient | $794 | $794 | — | — | — | $794 – $794 |
| 13 | Highmark managed care - social mission facility · fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 14 | Highmark my access blue ppo/my direct blue facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 15 | Cigna commercial facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Highmark connect blue epo facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Aetna commercial facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Highmark community blue ppo facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Highmark commercial - indemnity facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | Highmark managed care facility · fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Mar 6, 2026
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