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
HC 72202 DX- SACRO-ILIAC MIN 3VW
Orange, TX
See all hospitals reporting CPT 72202 →Price type
CHRISTUS Hospital - Orange’s median price of $141 is 1% below the median hospital's median price ($143), higher than 49% of the 2,619 hospitals reporting CPT 72202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 | UnitedHealthcare chip km fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 2 | UnitedHealthcare star kid km fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Humana choicecare fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Cigna new business fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 7 | Cigna ppo fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 8 | Aetna mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 9 | Bcbs Tx mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Humana gold choice mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 11 | Molina medicare adv mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 12 | UnitedHealthcare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 13 | WellCare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 14 | Devoted mm fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 15 | Molina chip km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 16 | Molina star km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 17 | Molina star plus km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 18 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 20 | Bcbs Tx hmo fee schedule · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $503 | $503 | — | — | — | $503 – $503 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $535 | $535 | — | — | — | $535 – $535 |
| 23 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $515 | $590 | $434 | 74% | — | $101 – $1.2k |
| 24 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $720 | $827 | $608 | 74% | — | $141 – $1.6k |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $772 | $886 | $651 | 74% | — | $151 – $1.7k |
Last updated: Jan 13, 2026
See X-ray of sacroiliac joints, 3 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.