Lumbosacral spine X-ray, 2 to 3 views at AMH Cath Labs LLC

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

SPINE LUMBAR 2-3 VIEWS

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $411 is 185% above the median hospital's median price ($144), higher than 89% of the 2,629 hospitals reporting CPT 72100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72100 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$40.10	$40.10	$40.10 – $40.10
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$40.10	$40.10	$40.10 – $40.10
3	WellCare managed medicaid fee schedule · outpatient	$42.11	$42.11	$42.11 – $42.11
4	Molina managed medicaid fee schedule · outpatient	$43.31	$43.31	$43.31 – $43.31
5	Aetna managed medicaid fee schedule · outpatient	$44.11	$44.11	$44.11 – $44.11
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$105.20	$105.20	$105.20 – $105.20
7	Humana medicare advantage case rate · outpatient	$109.40	$109.40	$109.40 – $109.40
8	Humana medicare advantage ppo case rate · outpatient	$109.40	$109.40	$109.40 – $109.40
9	Molina medicare advantage case rate · outpatient	$110.45	$110.45	$110.45 – $110.45
10	WellCare medicare advantage hmo case rate · outpatient	$110.45	$110.45	$110.45 – $110.45
11	WellCare medicare advantage mmp case rate · outpatient	$115.71	$115.71	$115.71 – $115.71
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$116.77	$116.77	$116.77 – $116.77
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$118.87	$118.87	$118.87 – $118.87
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$294.43	$294.43	$294.43 – $294.43
15	Blue Cross Blue Shield exchange fee schedule · outpatient	$302.62	$302.62	$302.62 – $302.62
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$327.16	$327.16	$327.16 – $327.16
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$358.86	$358.86	$358.86 – $358.86
18	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$478.52	$478.52	$478.52 – $478.52
19	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$483.15	$483.15	$483.15 – $483.15
20	UnitedHealthcare all payer case rate · outpatient	$551.00	$551.00	$551.00 – $551.00
21	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$607.43	$607.43	$607.43 – $607.43
22	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$609.18	$609.18	$609.18 – $609.18
23	Aetna asa percent of total billed charges · outpatientfrom % of charges	$612.67	$612.67	$612.67 – $612.67
24	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$612.67	$612.67	$612.67 – $612.67
25	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$651.13	$651.13	$651.13 – $651.13

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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