X-ray of sacroiliac joints, 3 or more views 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 3+ 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 45% below the median hospital's median price ($143), higher than 12% of the 2,619 hospitals reporting CPT 72202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72202 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	$28	$28	—	—	—	$28 – $28
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$99	91%	—	$10 – $208
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	$145	91%	—	$15 – $306
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$155	91%	—	$16 – $325
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$155	91%	—	$16 – $325
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$155	91%	—	$16 – $325
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$155	91%	—	$16 – $325
8	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$187	$187	$170	91%	—	$17 – $357
9	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	$173	91%	—	$18 – $363
10	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$203	$203	$184	91%	—	$19 – $387
11	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$213	$213	$193	91%	—	$20 – $406
12	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$232	$232	$210	91%	—	$22 – $442
13	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$233	$233	$212	91%	—	$22 – $445
14	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	$230	91%	—	$24 – $484
15	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	$230	91%	—	$24 – $484
16	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	$230	91%	—	$24 – $484
17	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$281	$281	$255	91%	—	$26 – $536
18	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$286	$286	$260	91%	—	$27 – $546
19	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$286	$286	$260	91%	—	$27 – $546
20	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$292	$292	$265	91%	—	$27 – $557
21	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$296	$296	$268	91%	—	$28 – $565
22	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	$268	91%	—	$28 – $565
23	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
24	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$337	$337	—	—	—	$337 – $337

Last updated: Mar 2, 2026

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