Sacroiliac joint X-ray at Page Hospital

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 JTS SACROILIAC 1-2 VW

Page, AZ

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Pricing by billing methodology

Price type

How this price compares nationally

Page Hospital’s median price of $79 is 39% below the median hospital's median price ($129), higher than 16% of the 2,216 hospitals reporting CPT 72200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72200 at Page Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare advantage facility · fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$66	$66	$58	88%	—	$8 – $124
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	$86	88%	—	$11 – $183
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$91	88%	—	$12 – $194
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$91	88%	—	$12 – $194
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$91	88%	—	$12 – $194
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	$91	88%	—	$12 – $194
8	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	$100	88%	—	$13 – $213
9	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$115	$115	$102	88%	—	$14 – $217
10	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	$108	88%	—	$15 – $231
11	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	$114	88%	—	$15 – $243
12	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	$124	88%	—	$17 – $264
13	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$141	$141	$125	88%	—	$17 – $266
14	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	$135	88%	—	$18 – $289
15	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	$135	88%	—	$18 – $289
16	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$153	$153	$135	88%	—	$18 – $289
17	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$150	88%	—	$20 – $320
18	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$173	$173	$153	88%	—	$20 – $326
19	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$173	$173	$153	88%	—	$20 – $326
20	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$177	$177	$156	88%	—	$21 – $332
21	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$179	$179	$158	88%	—	$21 – $337
22	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$179	$179	$158	88%	—	$21 – $337
23	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$194	$194	—	—	—	$194 – $194
24	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201

Last updated: Mar 2, 2026

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