Infant skeletal X-ray survey

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

Xray Bone Survey Infant

Payers reporting CPT 77076

Payer pricing summary

Low

$70

Average

$268

Median

$234

High

$940

Payer rate distribution

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1	Molina fee schedule · outpatient · +32 other terms	248	$115	$120	$50	42%	50–68	$1 – $540
2	Aetna fee schedule · outpatient · +37 other terms	663	$162	$302	$441	146%	10–100	$1 – $8.4k
3	Anthem fee schedule · outpatient · +30 other terms	189	$202	$153	$159	104%	2–20	$14 – $1.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	498	$196	$228	$176	77%	1–10	$1 – $2.6k
5	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$244	$244	—	—	1–10	$244 – $244
6	UnitedHealthcare fee schedule · outpatient · +39 other terms	717	$179	$189	$164	86%	—	$1 – $3.1k
7	Cigna fee schedule · outpatient · +29 other terms	492	$240	$283	$249	88%	—	$26 – $2.5k
8	Humana fee schedule · outpatient · +30 other terms	387	$118	$224	$287	128%	—	$30 – $2.4k
9	WellCare fee schedule · outpatient · +23 other terms	153	$111	$118	$50	42%	—	$26 – $438
10	MultiPlan fee schedule · outpatient · +22 other terms	120	$434	$586	$662	113%	—	$1 – $3.2k
11	Kaiser fee schedule · outpatient · +24 other terms	109	$174	$228	$229	101%	—	$33 – $1.5k
12	Devoted facility · fee schedule · outpatient · +16 other terms	98	$106	$145	$426	294%	—	$84 – $4.9k
13	Ambetter facility · fee schedule · outpatient · +21 other terms	92	$178	$245	$665	272%	—	$104 – $7.1k
14	Aetna Better Health fee schedule · outpatient · +20 other terms	80	$113	$112	$28	25%	—	$41 – $374
15	Tricare facility · fee schedule · outpatient · +20 other terms	75	$105	$151	$405	268%	—	$62 – $4.6k
16	Oscar facility · fee schedule · outpatient · +20 other terms	68	$153	$157	$39	25%	—	$97 – $294
17	Highmark facility · fee schedule · outpatient · +19 other terms	65	$144	$152	$111	73%	—	$25 – $487
18	Caresource fee schedule · outpatient · +18 other terms	64	$153	$153	$49	32%	—	$37 – $227
19	First Health fee schedule · outpatient · +18 other terms	63	$213	$394	$566	144%	—	$40 – $2.4k
20	Medicaid facility · fee schedule · outpatient · +15 other terms	58	$91	$86	$29	34%	—	$28 – $166
21	Optum facility · fee schedule · outpatient · +21 other terms	57	$104	$133	$96	73%	—	$44 – $672
22	Medica fee schedule · outpatient · +23 other terms	51	$243	$234	$120	51%	—	$27 – $683
23	Amerihealth Caritas facility · fee schedule · outpatient · +14 other terms	49	$68	$83	$37	44%	—	$28 – $235
24	Medicare facility · fee schedule · outpatient · +18 other terms	37	$108	$226	$678	300%	—	$93 – $4.8k
25	Clover facility · fee schedule · outpatient · +11 other terms	36	$107	$106	$9	8%	—	$85 – $125

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