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 SI JOINTS 3 + V
CONROE, TX
See all hospitals reporting CPT 72202 →Price type
Hca Houston Healthcare Conroe’s median price of $281 is 96% above the median hospital's median price ($143), higher than 79% 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: 11 payers, 45 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 mgmcd fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Aetna Better Health mgmcd fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Molina chip fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Molina star fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Molina starkids fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 6 | Molina starplus fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Humana mcd fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Cigna csn fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Cigna openaccessplus fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $128 | $128 | $39 | 31% | — | $88 – $167 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $128 | $128 | $39 | 31% | — | $88 – $167 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $128 | $128 | $39 | 31% | — | $88 – $167 |
| 13 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $128 | $128 | $39 | 31% | — | $88 – $167 |
| 14 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $128 | $128 | $39 | 31% | — | $88 – $167 |
| 15 | Cigna ppo fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 16 | Aetna qhpexchange fee schedule · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 17 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 18 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 19 | Aetna nbhmo fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 20 | Aetna nbpos fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 21 | Aetna nbppo fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 22 | Aetna commhmo fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 23 | Aetna commpos fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 24 | Aetna commppo fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 25 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
Last updated: May 14, 2026
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