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 DR
Victoria, TX
See all hospitals reporting CPT 72110 →Price type
Victoria of Texas LP’s median price of $109 is 33% below the median hospital's median price ($161), higher than 23% 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: 11 payers, 34 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 3 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 4 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $52.13 | $52.13 | $52.13 – $52.13 |
| 5 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $53.17 | $53.17 | $53.17 – $53.17 |
| 6 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $53.17 | $53.17 | $53.17 – $53.17 |
| 7 | Molina node molina chip medicaid tx facility · per diem · outpatient | $54.74 | $54.74 | $54.74 – $54.74 |
| 8 | Molina node molina star medicaid tx facility · per diem · outpatient | $54.74 | $54.74 | $54.74 – $54.74 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $54.74 | $54.74 | $54.74 – $54.74 |
| 10 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $83.45 | $83.45 | $83.45 – $83.45 |
| 11 | Tricare node tricare facility · fee schedule · outpatient | $94.78 | $94.78 | $89.79 – $99.77 |
| 12 | Humana node humana mcr adv facility · fee schedule · outpatient | $98.18 | $98.18 | $93.01 – $103.34 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $98.18 | $98.18 | $93.01 – $103.34 |
| 14 | Tricare node usfhp tricare facility · fee schedule · outpatient | $99.77 | $99.77 | $94.52 – $105.02 |
| 15 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $100.14 | $100.14 | $94.87 – $105.41 |
| 16 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $100.14 | $100.14 | $94.87 – $105.41 |
| 17 | Aetna node aetna mcr adv facility · other · outpatient | $106.44 | $102.89 | $95.80 – $106.44 |
| 18 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $103.46 | $103.46 | $103.46 – $103.46 |
| 19 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $163.17 | $163.17 | $163.17 – $163.17 |
| 20 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $171.34 | $171.34 | $171.34 – $171.34 |
| 21 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $199.54 | $199.54 | $189.04 – $210.04 |
| 22 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $318.22 | $318.22 | $318.22 – $318.22 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $900.35 | $900.35 | $900.35 – $900.35 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1,078 | $1,078 | $1,078 – $1,078 |
| 25 | Aetna aetna dow chemical group facility · percent of total billed charges · inpatientfrom % of charges | $1,248 | $1,248 | $1,248 – $1,248 |
Last updated: Apr 1, 2026
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