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
SP-LS SPNE 4VPLUS CR
Vicksburg, MS
See all hospitals reporting CPT 72110 →Price type
Vicksburg Healthcare LLC’s median price of $150 is 7% below the median hospital's median price ($161), higher than 45% 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: 12 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 | Aetna aetna first choice ms facility · fee schedule · outpatient | $76.07 | $76.07 | $76.07 – $76.07 |
| 2 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $81.04 | $81.04 | $81.04 – $81.04 |
| 3 | Molina molina medicaid ms facility · other · outpatient | $81.85 | $81.85 | $81.85 – $81.85 |
| 4 | Caresource caresource truecare facility · other · outpatient | $82.66 | $82.66 | $82.66 – $82.66 |
| 5 | Molina molina chip facility · other · outpatient | $87.52 | $87.52 | $87.52 – $87.52 |
| 6 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $92.96 | $92.96 | $88.07 – $97.85 |
| 7 | Tricare node tricare facility · fee schedule · outpatient | $93.24 | $93.24 | $88.33 – $98.14 |
| 8 | Optum node united optum va ccn facility · fee schedule · outpatient | $94.47 | $94.47 | $89.50 – $99.44 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $94.82 | $94.82 | $89.83 – $99.81 |
| 10 | Molina node molina mcr adv facility · fee schedule · outpatient | $94.82 | $94.82 | $89.83 – $99.81 |
| 11 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $95.75 | $95.75 | $90.71 – $100.79 |
| 12 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $96.36 | $96.36 | $91.29 – $101.43 |
| 13 | Humana humana health benefit plan of la medicaid facility · other · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 14 | UnitedHealthcare uhc la medicaid facility · percent of total billed charges · outpatientfrom % of charges | $169.12 | $169.12 | $169.12 – $169.12 |
| 15 | UnitedHealthcare uhc la medicaid chip facility · percent of total billed charges · outpatientfrom % of charges | $169.12 | $169.12 | $169.12 – $169.12 |
| 16 | Molina molina exchange facility · fee schedule · outpatient | $172.04 | $172.04 | $162.98 – $181.09 |
| 17 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $224.16 | $224.16 | $224.16 – $224.16 |
| 18 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $224.16 | $224.16 | $224.16 – $224.16 |
| 19 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $296.33 | $296.33 | $280.73 – $311.92 |
| 20 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $458.02 | $458.02 | $458.02 – $458.02 |
| 21 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $458.02 | $458.02 | $458.02 – $458.02 |
| 22 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $665.40 | $665.40 | $665.40 – $665.40 |
| 23 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $665.40 | $665.40 | $665.40 – $665.40 |
| 24 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $776.30 | $776.30 | $776.30 – $776.30 |
Last updated: Apr 1, 2026
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