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.
Original text from hospital filings
X-RAY EXAM ENTIRE SPI 6/> VW
Park, TX
See all hospitals reporting CPT 72084 →Price type
Ascension Cedar Park’s median price of $83 is 53% below the median hospital's median price ($176), higher than 5% of the 2,159 hospitals reporting CPT 72084. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 28 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 5 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 6 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 7 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 8 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 10 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 11 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $83 | $83 | — | — | — | $83 – $83 |
| 12 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 14 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Humana 2668_humana hmo 20230701 other · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 17 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $230 | $230 | — | — | — | $230 – $230 |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 21 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 22 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 23 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $350 | $350 | — | — | — | $350 – $350 |
| 24 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 25 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $370 | $370 | — | — | — | $370 – $370 |
Last updated: Jan 1, 2026
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