Right shoulder arthrogram X-ray 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

CONTRAST X-RAY OF SHOULDER

Luling, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $464 is 8% above the median hospital's median price ($429), higher than 55% of the 2,277 hospitals reporting CPT 73040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73040 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 54 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	$94	$94	—	—	—	$94 – $94
2	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$94	$94	—	—	—	$94 – $94
3	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$94	$94	—	—	—	$94 – $94
4	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$94	$94	—	—	—	$94 – $94
5	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$94	$94	—	—	—	$94 – $94
6	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$94	$94	—	—	—	$94 – $94
7	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$96	$96	—	—	—	$96 – $96
8	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$96	$96	—	—	—	$96 – $96
9	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$96	$96	—	—	—	$96 – $96
10	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$96	$96	—	—	—	$96 – $96
11	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
12	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
13	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
14	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
15	Humana 2668_humana hmo 20230701 other · outpatient	$185	$185	—	—	—	$185 – $185
16	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
17	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
18	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
19	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
20	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
21	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$382	$382	—	—	—	$382 – $382
22	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$445	$445	—	—	—	$445 – $445
23	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$445	$445	—	—	—	$445 – $445
24	Blue Cross Blue Shield 3596_blue cross chip/star kids (ebd) inpatient 20240901 fee schedule · both	$464	$464	—	—	—	$464 – $464
25	Blue Cross Blue Shield 3695_chirp blue cross star (ebd) inpatient 20240901 fee schedule · both	$464	$464	—	—	—	$464 – $464

Page 1 of 3 · 54 rates

Last updated: Jan 1, 2026

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