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 LUMBOSAC MIN 4 VWS
Wellsboro, PA
See all hospitals reporting CPT 72110 →Price type
UPMC Wellsboro’s median price of $597 is 271% above the median hospital's median price ($161), higher than 91% of the 2,619 hospitals reporting CPT 72110. 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 | $40.28 | $40.28 | $40.28 – $40.28 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $40.83 | $40.83 | $40.83 – $40.83 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $203.22 | $203.22 | $193.32 – $213.12 |
| 5 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $225.80 | $225.80 | $214.80 – $236.80 |
| 6 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $237.09 | $237.09 | $225.54 – $248.64 |
| 7 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $241.61 | $241.61 | $229.84 – $253.38 |
| 8 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $484.80 | $484.80 | $461.18 – $508.41 |
| 9 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $570.94 | $570.94 | $543.12 – $598.75 |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $828.24 | $828.24 | $787.89 – $868.58 |
| 11 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $828.24 | $828.24 | $787.89 – $868.58 |
| 12 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $880.62 | $880.62 | $837.72 – $923.52 |
| 13 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $880.62 | $880.62 | $837.72 – $923.52 |
| 14 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $880.62 | $880.62 | $837.72 – $923.52 |
| 15 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $880.62 | $880.62 | $837.72 – $923.52 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $959.65 | $959.65 | $912.90 – $1,006 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $959.65 | $959.65 | $912.90 – $1,006 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $974.33 | $974.33 | $926.86 – $1,022 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $974.33 | $974.33 | $926.86 – $1,022 |
| 20 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $1,073 | $1,073 | $1,020 – $1,125 |
| 21 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $1,073 | $1,073 | $1,020 – $1,125 |
Last updated: Mar 6, 2026
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