Right shoulder arthrogram X-ray

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

HC Xr Arthrogram Shoulder

Payers reporting CPT 73040

Payer pricing summary

Low

$99

Average

$570

Median

$492

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +39 other terms	707	$508	$483	$413	86%	4–40	$1 – $10.5k
2	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	479	$454	$554	$495	89%	2–20	$1 – $3.8k
3	Humana fee schedule · outpatient · +33 other terms	377	$348	$356	$261	73%	2–20	$1 – $1.6k
4	Bcbs Al facility · other · outpatient · +4 other terms	5	$199	$226	$101	45%	2–20	$159 – $513
5	Medica fee schedule · outpatient · +22 other terms	39	$335	$362	$214	59%	1–10	$25 – $1.2k
6	Aetna fee schedule · outpatient · +37 other terms	635	$367	$494	$805	163%	—	$1 – $27.2k
7	Cigna fee schedule · outpatient · +31 other terms	482	$474	$512	$500	98%	—	$1 – $9.3k
8	Molina fee schedule · outpatient · +34 other terms	235	$316	$270	$184	68%	—	$1 – $945
9	WellCare fee schedule · outpatient · +23 other terms	169	$362	$359	$145	40%	—	$25 – $837
10	Anthem fee schedule · outpatient · +29 other terms	168	$335	$216	$288	133%	—	$8 – $2.6k
11	Ambetter facility · fee schedule · outpatient · +22 other terms	108	$594	$525	$418	80%	—	$156 – $7.1k
12	Tricare facility · fee schedule · outpatient · +21 other terms	93	$350	$363	$259	71%	—	$53 – $4.6k
13	Devoted facility · fee schedule · outpatient · +18 other terms	90	$334	$363	$275	76%	—	$280 – $4.9k
14	MultiPlan fee schedule · outpatient · +24 other terms	83	$743	$691	$481	70%	—	$36 – $2.1k
15	Aetna Better Health fee schedule · outpatient · +18 other terms	81	$143	$167	$75	45%	—	$37 – $391
16	Kaiser fee schedule · outpatient · +26 other terms	79	$359	$437	$472	108%	—	$27 – $2.9k
17	Highmark facility · fee schedule · outpatient · +22 other terms	67	$386	$409	$241	59%	—	$17 – $1.6k
18	Optum fee schedule · outpatient · +19 other terms	64	$367	$451	$378	84%	—	$29 – $1.8k
19	Caresource fee schedule · outpatient · +21 other terms	62	$355	$297	$131	44%	—	$1 – $758
20	Oscar fee schedule · outpatient · +21 other terms	54	$655	$496	$308	62%	—	$1 – $996
21	Medicaid facility · fee schedule · outpatient · +18 other terms	49	$200	$234	$131	56%	—	$17 – $462
22	First Health fee schedule · outpatient · +20 other terms	44	$364	$341	$407	119%	—	$33 – $1.9k
23	Cigna Healthspring fee schedule · outpatient · +11 other terms	41	$352	$308	$109	35%	—	$132 – $490
24	Medicare facility · fee schedule · outpatient · +20 other terms	39	$365	$468	$437	93%	—	$311 – $4.8k
25	Clover facility · fee schedule · outpatient · +13 other terms	36	$357	$353	$32	9%	—	$284 – $421

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