Thoracic spine myelogram X-ray at CHRISTUS Hospital - Orange

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

HC 72255 DX- MYELOGRAPHY-THORACIC RS&I

Orange, TX

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How this price compares nationally

CHRISTUS Hospital - Orange’s median price of $961 is 16% above the median hospital's median price ($830), higher than 65% of the 1,782 hospitals reporting CPT 72255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72255 at CHRISTUS Hospital - Orange

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	$93	$93	—	—	—	$93 – $93
2	UnitedHealthcare star kid km fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
3	UnitedHealthcare star km fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
4	UnitedHealthcare star plus km fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
5	Cigna new business fee schedule · outpatient	$177	$177	—	—	—	$177 – $177
6	Humana choicecare fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
7	Cigna ppo fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
8	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$636	$593	$98	17%	—	$457 – $687
9	Aetna mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
10	Bcbs Tx mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
11	Humana gold choice mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
12	Molina medicare adv mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
13	UnitedHealthcare mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
14	WellCare mm fee schedule · outpatient	$791	$791	—	—	—	$791 – $791
15	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$890	$830	$138	17%	—	$640 – $961
16	Devoted mm fee schedule · outpatient	$855	$855	—	—	—	$855 – $855
17	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$954	$890	$148	17%	—	$686 – $1.0k
18	Molina chip km fee schedule · outpatient	$980	$980	—	—	—	$980 – $980
19	Molina star km fee schedule · outpatient	$980	$980	—	—	—	$980 – $980
20	Molina star plus km fee schedule · outpatient	$980	$980	—	—	—	$980 – $980
21	Aetna new business percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.2k	$203	17%	—	$945 – $1.4k
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$213	17%	—	$991 – $1.5k
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$213	17%	—	$991 – $1.5k
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.3k	$213	17%	—	$991 – $1.5k
25	Aetna epo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.4k	$226	17%	—	$1.1k – $1.6k

Page 1 of 2 · 33 rates

Last updated: Jan 13, 2026

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