X-ray of lower spine with bending views

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Radex Spine Lumbscrl Compl W/Bending Views Min 6

Payers reporting CPT 72114

Payer pricing summary

Low

$43

Average

$310

Median

$259

High

$1.1k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	47	$111	$134	$101	76%	269–458	$40 – $821
2	Bcbs Al facility · other · outpatient · +3 other terms	6	$81	$86	$9	11%	114–159	$74 – $99
3	Anthem fee schedule · outpatient · +34 other terms	201	$162	$132	$148	112%	49–256	$2 – $1.2k
4	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	538	$191	$216	$194	90%	19–82	$1 – $3.8k
5	UnitedHealthcare fee schedule · outpatient · +41 other terms	774	$178	$196	$233	119%	13–130	$1 – $4.8k
6	Aetna fee schedule · outpatient · +38 other terms	679	$133	$255	$345	135%	8–80	$1 – $8.6k
7	Cigna fee schedule · outpatient · +34 other terms	516	$206	$255	$255	100%	5–50	$12 – $2.2k
8	Molina fee schedule · outpatient · +34 other terms	265	$106	$102	$59	58%	3–30	$1 – $487
9	Bcbs In other · both · +1 other terms	11	$381	$394	$62	16%	3–30	$254 – $507
10	Humana fee schedule · outpatient · +34 other terms	408	$112	$183	$273	149%	2–20	$1 – $3.4k
11	WellCare fee schedule · outpatient · +29 other terms	172	$112	$120	$56	47%	1–10	$12 – $381
12	Caresource fee schedule · outpatient · +22 other terms	76	$130	$135	$52	38%	1–10	$1 – $311
13	Medica fee schedule · outpatient · +24 other terms	56	$170	$272	$320	117%	1–10	$12 – $1.3k
14	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$244	$244	—	—	1–10	$244 – $244
15	MultiPlan fee schedule · outpatient · +25 other terms	125	$651	$682	$723	106%	—	$1 – $2.8k
16	Kaiser fee schedule · outpatient · +28 other terms	109	$152	$232	$259	112%	—	$15 – $1.8k
17	Devoted facility · fee schedule · outpatient · +20 other terms	102	$105	$136	$376	276%	—	$9 – $4.9k
18	Ambetter fee schedule · outpatient · +25 other terms	101	$181	$158	$89	56%	—	$13 – $665
19	Aetna Better Health fee schedule · outpatient · +20 other terms	88	$67	$75	$37	50%	—	$44 – $385
20	Tricare facility · fee schedule · outpatient · +22 other terms	85	$104	$136	$358	263%	—	$8 – $4.6k
21	Oscar facility · fee schedule · outpatient · +23 other terms	69	$153	$148	$49	33%	—	$71 – $351
22	Highmark facility · fee schedule · outpatient · +23 other terms	68	$147	$158	$115	73%	—	$11 – $488
23	First Health fee schedule · outpatient · +21 other terms	64	$203	$410	$605	147%	—	$18 – $2.3k
24	Medicaid facility · fee schedule · outpatient · +19 other terms	63	$70	$77	$37	48%	—	$21 – $166
25	Optum facility · fee schedule · outpatient · +24 other terms	61	$102	$126	$75	60%	—	$74 – $672

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