X-ray of thoracic spine, 4 or more views at Samaritan 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

PR Xr Thoracic Spine Minimum 4 Views|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $113 is 24% below the median hospital's median price ($149), higher than 31% of the 2,261 hospitals reporting CPT 72074. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72074 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 108 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 united healthcare medicaid harp chip facility · fee schedule · both	$25	$25	—	—	—	$25 – $25
2	Humana tricare professional · fee schedule · inpatient	$25	$25	$15	58%	—	$11 – $40
3	Humana tricare professional · fee schedule · outpatient	$25	$25	$15	58%	—	$11 – $40
4	Tricare tricare professional · fee schedule · inpatient	$25	$25	$15	58%	—	$11 – $40
5	Tricare tricare professional · fee schedule · outpatient	$25	$25	$15	58%	—	$11 – $40
6	Anthem empire medicaid facility · fee schedule · both	$32	$32	—	—	—	$32 – $32
7	Excellus empire medicaid facility · fee schedule · both	$32	$32	—	—	—	$32 – $32
8	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$68	$68	—	—	—	$68 – $68
9	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$68	$68	—	—	—	$68 – $68
10	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
11	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
12	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
13	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
14	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
15	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
16	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
17	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
18	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
19	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
20	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
21	First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
22	Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
23	Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
24	Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113
25	Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$72	$72	$42	58%	—	$30 – $113

Page 1 of 5 · 108 rates

Last updated: Mar 31, 2026

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