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
CT-THOR SPINE WO
Victoria, TX
See all hospitals reporting CPT 72128 →Price type
Victoria of Texas LP’s median price of $184 is 45% below the median hospital's median price ($334), higher than 32% of the 2,605 hospitals reporting CPT 72128. 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 | Tricare node tricare facility · fee schedule · outpatient | $99.77 | $99.77 | $99.77 – $99.77 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $103.34 | $103.34 | $103.34 – $103.34 |
| 3 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $103.34 | $103.34 | $103.34 – $103.34 |
| 4 | Medicaid node tx medicaid facility · fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 5 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 6 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $104.75 | $104.75 | $104.75 – $104.75 |
| 8 | Tricare node usfhp tricare facility · fee schedule · outpatient | $105.02 | $105.02 | $105.02 – $105.02 |
| 9 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $105.41 | $105.41 | $105.41 – $105.41 |
| 10 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $105.41 | $105.41 | $105.41 – $105.41 |
| 11 | Aetna node aetna mcr adv facility · other · outpatient | $106.44 | $106.44 | $106.44 – $106.44 |
| 12 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $106.85 | $106.85 | $106.85 – $106.85 |
| 13 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $106.85 | $106.85 | $106.85 – $106.85 |
| 14 | Molina node molina chip medicaid tx facility · per diem · outpatient | $109.99 | $109.99 | $109.99 – $109.99 |
| 15 | Molina node molina star medicaid tx facility · per diem · outpatient | $109.99 | $109.99 | $109.99 – $109.99 |
| 16 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $109.99 | $109.99 | $109.99 – $109.99 |
| 17 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $207.88 | $207.88 | $207.88 – $207.88 |
| 18 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $210.04 | $210.04 | $210.04 – $210.04 |
| 19 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $213.24 | $213.24 | $213.24 – $213.24 |
| 20 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $327.87 | $327.87 | $327.87 – $327.87 |
| 21 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $344.27 | $344.27 | $344.27 – $344.27 |
| 22 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $825.15 | $825.15 | $825.15 – $825.15 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $3,352 | $3,352 | $3,352 – $3,352 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $4,014 | $4,014 | $4,014 – $4,014 |
| 25 | Aetna aetna dow chemical group facility · other · outpatient | $4,648 | $4,648 | $4,648 – $4,648 |
Last updated: Apr 1, 2026
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