Pelvis X-ray at Jackson HMA LLC

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

XR Pelvis Complete Minimum 3 V DR

Jackson, MS

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Pricing by billing methodology

Price type

How this price compares nationally

Jackson HMA LLC’s median price of $94 is 36% below the median hospital's median price ($148), higher than 15% of the 2,517 hospitals reporting CPT 72190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72190 at Jackson HMA LLC

Negotiated rates from the hospital’s own file: 12 payers, 22 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 uhc chip medicaid ms facility · case rate · outpatient	$81	$81	—	—	—	$81 – $81
2	UnitedHealthcare uhc medicaid ms facility · case rate · outpatient	$81	$81	—	—	—	$81 – $81
3	Molina molina medicaid ms facility · other · outpatient	$82	$82	—	—	—	$82 – $82
4	Caresource caresource truecare facility · case rate · outpatient	$83	$83	—	—	—	$83 – $83
5	Molina molina chip facility · other · outpatient	$88	$88	—	—	—	$88 – $88
6	Tricare node tricare facility · fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
7	Humana node humana mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
8	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
9	Optum node united optum va ccn facility · fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
10	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
11	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
12	Molina node molina mcr adv facility · fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
13	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
14	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
15	Molina molina exchange facility · fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
16	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$204	$204	$199	97%	—	$5 – $404
17	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$220	$220	$214	97%	—	$6 – $434
18	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$220	$220	$214	97%	—	$6 – $434
19	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
20	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$224	$224	—	—	—	$224 – $224
21	Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient	$312	$312	—	—	—	$312 – $312
22	Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges	$726	$726	$708	97%	—	$18 – $1.4k

Last updated: Apr 1, 2026

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