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
SPINE LUMBOSACRAL 2-3 VIEWS
Wellsboro, PA
See all hospitals reporting CPT 72100 →Price type
UPMC Wellsboro’s median price of $350 is 143% above the median hospital's median price ($144), higher than 84% of the 2,629 hospitals reporting CPT 72100. 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, 21 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 | $28.80 | $28.80 | $28.80 – $28.80 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $35.78 | $35.78 | $35.78 – $35.78 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $36.27 | $36.27 | $36.27 – $36.27 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $119.25 | $119.25 | $113.40 – $125.10 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $132.50 | $132.50 | $126.00 – $139.00 |
| 6 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $139.13 | $139.13 | $132.30 – $145.95 |
| 7 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $141.78 | $141.78 | $134.82 – $148.73 |
| 8 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $284.48 | $284.48 | $270.52 – $298.43 |
| 9 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $335.03 | $335.03 | $318.59 – $351.46 |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $486.01 | $486.01 | $462.17 – $509.85 |
| 11 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $486.01 | $486.01 | $462.17 – $509.85 |
| 12 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $516.75 | $516.75 | $491.40 – $542.10 |
| 13 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $516.75 | $516.75 | $491.40 – $542.10 |
| 14 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $516.75 | $516.75 | $491.40 – $542.10 |
| 15 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $516.75 | $516.75 | $491.40 – $542.10 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $563.13 | $563.13 | $535.50 – $590.75 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $563.13 | $563.13 | $535.50 – $590.75 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $571.74 | $571.74 | $543.69 – $599.78 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $571.74 | $571.74 | $543.69 – $599.78 |
| 20 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $629.38 | $629.38 | $598.50 – $660.25 |
| 21 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $629.38 | $629.38 | $598.50 – $660.25 |
Last updated: Mar 6, 2026
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