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
XR SACROILIAC JTS <3 VWS
Red Bluff, CA
See all hospitals reporting CPT 72200 →Price type
Dignity Health’s median price of $760 is 490% above the median hospital's median price ($129), higher than 99% of the 2,197 hospitals reporting CPT 72200. 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, 29 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 | Anthem medicaid|all plans fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Aetna medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 3 | Anthem medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 5 | Humana medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 6 | Kaiser medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 7 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 8 | Anthem commercial|exchange fee schedule · outpatient | $510 | $510 | — | — | — | $510 – $510 |
| 9 | Blue Cross Blue Shield commercial|exchange fee schedule · inpatient | $583 | $583 | — | — | — | $583 – $583 |
| 10 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $583 | $583 | — | — | — | $583 – $583 |
| 11 | Anthem commercial|all other plans fee schedule · outpatient | $625 | $625 | — | — | — | $625 – $625 |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $729 | $729 | — | — | — | $729 – $729 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $729 | $729 | — | — | — | $729 – $729 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $729 | $729 | — | — | — | $729 – $729 |
| 15 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $760 | $760 | — | — | — | $760 – $760 |
| 16 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 17 | Cigna commercial|all other plans fee schedule · inpatient | $760 | $760 | — | — | — | $760 – $760 |
| 18 | Cigna commercial|all other plans fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 19 | Cigna commercial|ppo fee schedule · inpatient | $760 | $760 | — | — | — | $760 – $760 |
| 20 | Cigna commercial|ppo fee schedule · outpatient | $760 | $760 | — | — | — | $760 – $760 |
| 21 | Aetna commercial|all other plans fee schedule · inpatient | $770 | $770 | — | — | — | $770 – $770 |
| 22 | Aetna commercial|hmo fee schedule · inpatient | $770 | $770 | — | — | — | $770 – $770 |
| 23 | Aetna commercial|ppo fee schedule · inpatient | $770 | $770 | — | — | — | $770 – $770 |
| 24 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $937 | $937 | — | — | — | $937 – $937 |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $937 | $937 | — | — | — | $937 – $937 |
Last updated: Feb 28, 2026
See Sacroiliac joint X-ray pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.