Lumbar spine X-ray myelogram 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

MYELOGRAM LUMBAR S&I

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 $1.1k is 32% above the median hospital's median price ($837), higher than 74% of the 1,920 hospitals reporting CPT 72265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72265 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	$109	$109	—	—	—	$109 – $109
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
3	WellCare managed medicaid fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
4	Molina managed medicaid fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
5	Aetna managed medicaid fee schedule · outpatient	$120	$120	—	—	—	$120 – $120
6	UnitedHealthcare all payer case rate · outpatient	$551	$551	—	—	—	$551 – $551
7	UnitedHealthcare ppo case rate · outpatient	$722	$722	—	—	—	$722 – $722
8	Blue Cross Blue Shield medicare advantage case rate · outpatient	$789	$789	—	—	—	$789 – $789
9	Humana medicare advantage case rate · outpatient	$820	$820	—	—	—	$820 – $820
10	Humana medicare advantage ppo case rate · outpatient	$820	$820	—	—	—	$820 – $820
11	Molina medicare advantage case rate · outpatient	$828	$828	—	—	—	$828 – $828
12	WellCare medicare advantage hmo case rate · outpatient	$828	$828	—	—	—	$828 – $828
13	WellCare medicare advantage mmp case rate · outpatient	$868	$868	—	—	—	$868 – $868
14	UnitedHealthcare medicare advantage ppo case rate · outpatient	$876	$876	—	—	—	$876 – $876
15	UnitedHealthcare medicare advantage hmo case rate · outpatient	$891	$891	—	—	—	$891 – $891
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$893	$893	—	—	—	$893 – $893
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Aetna asa percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
23	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
24	Blue Cross Blue Shield hmo fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
25	Blue Cross Blue Shield exchange fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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