X-ray of the spine, multiple views at Ascension Seton

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

X-RAY EXAM ENTIRE SPI 6/> VW

Burnet, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $123 is 30% below the median hospital's median price ($176), higher than 29% of the 2,140 hospitals reporting CPT 72084. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72084 at Ascension Seton

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	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	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
17	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
18	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both	$123	$123	—	—	—	$123 – $123
19	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both	$123	$123	—	—	—	$123 – $123
20	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both	$123	$123	—	—	—	$123 – $123
21	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both	$123	$123	—	—	—	$123 – $123
22	Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
23	Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
24	Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
25	Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137

Page 1 of 2 · 48 rates

Last updated: Jan 1, 2026

Compare to other hospitals

See X-ray of the spine, multiple views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.