Ct scan of middle spine without contrast
Medicare pricing data for 24,162 providers across 52 states
This procedure has a 6.3x markup — hospitals charge $317.98 but Medicare allows only $50.42. Uninsured patients may face bills 6.3 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Ct scan of middle spine without contrast (HCPCS code 72128) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $50.42, but hospitals typically charge $317.98 — a 6.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $50.42, your out-of-pocket cost would be approximately $10.08. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 6.3x more than what Medicare allows for this procedure. Medicare actually pays $38.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $72 | $577 | 78 | 454 | +42.7% |
| Maryland | $61 | $297 | 517 | 4,125 | +20.3% |
| New Jersey | $59 | $402 | 584 | 4,082 | +17.1% |
| District of Columbia | $58 | $261 | 81 | 821 | +14.0% |
| New York | $57 | $324 | 1,255 | 13,002 | +12.5% |
| California | $57 | $364 | 2,249 | 19,314 | +12.5% |
| Florida | $54 | $364 | 1,736 | 18,184 | +7.1% |
| Nevada | $53 | $415 | 225 | 1,748 | +5.1% |
| Wyoming | $53 | $393 | 43 | 323 | +5.1% |
| Arizona | $52 | $392 | 421 | 5,415 | +2.8% |
| Connecticut | $52 | $307 | 356 | 2,604 | +2.5% |
| Colorado | $52 | $326 | 422 | 4,155 | +2.3% |
| Puerto Rico | $51 | $212 | 33 | 177 | +2.0% |
| Montana | $51 | $286 | 84 | 389 | +1.8% |
| Delaware | $51 | $264 | 68 | 564 | +1.2% |
| Louisiana | $51 | $311 | 340 | 1,908 | +0.5% |
| Texas | $50 | $408 | 1,715 | 20,955 | -0.0% |
| Washington | $50 | $229 | 518 | 4,960 | -0.7% |
| Massachusetts | $50 | $243 | 624 | 4,512 | -0.8% |
| Rhode Island | $50 | $234 | 104 | 1,507 | -1.5% |
| South Carolina | $50 | $322 | 376 | 2,169 | -1.8% |
| Minnesota | $49 | $315 | 928 | 10,951 | -1.9% |
| Georgia | $49 | $330 | 665 | 5,221 | -2.0% |
| Virginia | $49 | $300 | 645 | 5,949 | -2.0% |
| Tennessee | $49 | $340 | 673 | 4,791 | -2.6% |
| New Mexico | $48 | $276 | 131 | 840 | -3.8% |
| North Carolina | $48 | $333 | 874 | 7,142 | -4.0% |
| Hawaii | $48 | $221 | 92 | 717 | -4.8% |
| Illinois | $48 | $323 | 981 | 9,046 | -5.0% |
| Oregon | $48 | $234 | 282 | 2,037 | -5.6% |
| Oklahoma | $47 | $278 | 275 | 3,079 | -5.9% |
| Pennsylvania | $47 | $243 | 1,055 | 9,739 | -5.9% |
| Maine | $47 | $237 | 86 | 350 | -6.1% |
| Kansas | $47 | $208 | 229 | 2,668 | -6.2% |
| North Dakota | $47 | $211 | 75 | 527 | -6.6% |
| Missouri | $47 | $250 | 562 | 7,304 | -6.7% |
| Alabama | $47 | $248 | 401 | 3,876 | -7.4% |
| New Hampshire | $47 | $602 | 125 | 1,155 | -7.5% |
| Michigan | $46 | $221 | 690 | 8,622 | -8.2% |
| Iowa | $46 | $277 | 200 | 1,310 | -8.5% |
| Idaho | $46 | $328 | 115 | 845 | -8.8% |
| Mississippi | $46 | $295 | 192 | 1,837 | -9.2% |
| Indiana | $46 | $290 | 401 | 3,750 | -9.3% |
| Nebraska | $46 | $215 | 188 | 1,933 | -9.4% |
| Kentucky | $46 | $244 | 295 | 3,344 | -9.5% |
| Arkansas | $46 | $206 | 251 | 2,481 | -9.8% |
| South Dakota | $45 | $196 | 73 | 639 | -9.8% |
| Wisconsin | $45 | $476 | 542 | 3,514 | -9.9% |
| Ohio | $45 | $308 | 895 | 11,061 | -10.3% |
| Utah | $45 | $171 | 214 | 2,483 | -10.3% |
| West Virginia | $45 | $245 | 140 | 1,529 | -11.3% |
| Vermont | $44 | $274 | 31 | 363 | -12.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber