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 1 VW
Burnet, TX
See all hospitals reporting CPT 72081 →Price type
Ascension Seton’s median price of $43 is 64% below the median hospital's median price ($118), higher than 5% of the 2,427 hospitals reporting CPT 72081. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 48 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 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 5 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 6 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 7 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 8 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 9 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 10 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 12 | UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 13 | UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 14 | UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 15 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 17 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 18 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 19 | Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 20 | Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Humana 2668_humana hmo 20230701 other · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 23 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 24 | Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Blue Cross Blue Shield 3698_chirp blue cross star (shl) inpatient 20240901 fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
Last updated: Jan 1, 2026
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