Thoracic spine myelogram X-ray at Medical City Plano

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 MYELOGRAM T-SPINE

Plano, TX

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How this price compares nationally

Medical City Plano’s median price of $754 is 9% below the median hospital's median price ($830), higher than 35% 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 Medical City Plano

Negotiated rates from the hospital’s own file: 11 payers, 51 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 fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
2	UnitedHealthcare star fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
3	UnitedHealthcare starkids fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
4	UnitedHealthcare starperinate fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
5	UnitedHealthcare starplus fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
6	Cigna Healthspring mgmcd fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
7	Aetna Better Health chip fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
8	Aetna Better Health mcd fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
9	Molina chip fee schedule · outpatient	$120	$120	$1	1%	—	$119 – $121
10	Molina mcdstar fee schedule · outpatient	$120	$120	$1	1%	—	$119 – $121
11	Molina star+plus fee schedule · outpatient	$120	$120	$1	1%	—	$119 – $121
12	Molina starkids fee schedule · outpatient	$120	$120	$1	1%	—	$119 – $121
13	Aetna qhphix fee schedule · outpatient	$124	$124	—	—	—	$124 – $124
14	Humana mgmcd fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
15	Aetna newbusiness fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
16	Aetna comm fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
17	Aetna meritain fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
18	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
19	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
20	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
21	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
22	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
23	Humana comm fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
24	Aetna oon fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
25	Cigna localplus fee schedule · outpatient	$298	$298	—	—	—	$298 – $298

Page 1 of 3 · 51 rates

Last updated: Mar 1, 2026

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See Thoracic spine myelogram X-ray pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.