CPT 72128

CT/CTA - Spine

Current code53 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

See the whole procedure. This code is part of a procedure we compare in full, with every bill and what you’d pay: compare hospitals for it.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 72128 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
BHC Fairfax HospitalKirkland—$1,400$1,400
Capital Medical CenterOlympiaFile dated 2026-08-27$87.10 – $1295 plans$1,646$4,116
Cascade Medical CenterLeavenworth$852 – $1,2814 plansDoctor’s fee: $235 – $353$1,226Doctor’s fee: $338$1,532Doctor’s fee: $422
Cascade Valley HospitalArlington$115 – $2,1874 plans$1,746$2,182
Coulee Medical CenterGrand Coulee—$1,556$1,729
Deaconess Medical CenterSpokaneFile dated 2026-08-27$79.69 – $84.385 plans$631$1,577
EvergreenHealth Medical CenterKirkland—$1,586$1,982
EvergreenHealth MonroeMonroe$1201 plan$2,000$2,500
Harborview Medical CenterSeattleFile dated 2026-04-01—$1,668$2,383
Highline Medical CenterBurienFile dated 2026-02-28—$1,340$4,389
Island HospitalAnacortes$82.23 – $89.213 plans$1,191$1,191
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,546 – $1,717$2,208 – $2,453
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$82.42 – $89.025 plans$710$1,776
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$80.93 – $87.415 plans$710$1,776
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$80.93 – $87.415 plans$710$1,776
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$82.80 – $89.435 plans$710$1,776
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$79.12 – $83.785 plans$631$1,577
Olympic Medical CenterPort AngelesFile dated 2026-06-24$102 – $1125 plans$1,207$1,509
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$652$1,303
PeaceHealth Peace Island Medical CenterFriday Harbor—$1,874$2,883
PeaceHealth Southwest Medical CenteVancouver$1211 plan$1,324 – $1,364$2,037 – $2,098
PeaceHealth St John Medical CenterLongview$96.96 – $1313 plans$1,552 – $1,598$2,387 – $2,459
PeaceHealth St Joseph Medical CenterBellingham$1302 plans$1,895 – $1,952$2,916 – $3,003
PeaceHealth United General Medical CenterSedro Woolley—$1,695$2,607
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$374 – $1,595$534 – $2,278
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$1,216$2,338
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$310 – $1,306$443 – $1,865
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$1,189$1,698
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$643$1,236
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,337$1,910
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$1,141 – $1,427$1,630 – $2,038
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$1,216$2,338
Seattle Children's HospitalSeattle$92.14 – $932at least 12 plansDoctor’s fee: $27.73 – $29.61$195 – $2,867$195 – $2,867Doctor’s fee: $195
Skagit Valley HospitalMount Vernon$49.70 – $86.195 plans$1,760$2,201
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,335$4,389
St Clare HospitalLakewoodFile dated 2026-02-28—$1,265$4,389
St Elizabeth HospitalEnumclawFile dated 2026-02-28$746 – $9085 plans$1,551$4,389
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,377$4,389
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,454$4,389
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,937$4,389
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$246 – $444$513 – $925
Swedish Medical CenterSeattleFile dated 2026-04-01—$246 – $444$513 – $925
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$246 – $444$513 – $925
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$82.84 – $89.465 plans$710$1,776
Three Rivers HospitalBrewster$9541 planDoctor’s fee: $258$1,363Doctor’s fee: $369$1,363Doctor’s fee: $369
Trios HealthKennewick——$3,798
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,350$1,929
Virginia Mason Medical CenterSeattle—$769$1,507
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$125 – $2,213$125 – $2,213
Yakima Valley MemorialYakimaFile dated 2026-08-27$79.16 – $91.965 plans$1,196$2,990

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$153 in an office; $153 in a hospital or surgery center
Doctor's fee, rest of Washington
$135 in an office; $135 in a hospital or surgery center
Hospital outpatient payment (national)
$107 (APC 5522)
Surgery center payment (national)
$57.04