X-ray of lower spine, 4 or more views at Santa Rosa Hospital - Westover Hills

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

HC 72110 DX- L-SPINE MIN 4VW

San Antonio, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Santa Rosa Hospital - Westover Hills’s median price of $135 is 16% below the median hospital's median price ($161), higher than 39% of the 2,619 hospitals reporting CPT 72110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72110 at Santa Rosa Hospital - Westover Hills

Negotiated rates from the hospital’s own file: 12 payers, 35 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 km fee schedule · outpatient	$46.11	$46.11	$46.11 – $46.11
2	UnitedHealthcare star km fee schedule · outpatient	$46.11	$46.11	$46.11 – $46.11
3	UnitedHealthcare star plus km fee schedule · outpatient	$46.11	$46.11	$46.11 – $46.11
4	Aetna new business fee schedule · outpatient	$86.67	$86.67	$86.67 – $86.67
5	Humana choicecare fee schedule · outpatient	$89.61	$89.61	$89.61 – $89.61
6	Aetna epo fee schedule · outpatient	$96.30	$96.30	$96.30 – $96.30
7	Aetna hmo fee schedule · outpatient	$96.30	$96.30	$96.30 – $96.30
8	Aetna pos fee schedule · outpatient	$96.30	$96.30	$96.30 – $96.30
9	Aetna ppo fee schedule · outpatient	$96.30	$96.30	$96.30 – $96.30
10	Cigna new business fee schedule · outpatient	$97.04	$97.04	$97.04 – $97.04
11	Aetna mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
12	Bcbs Tx mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
13	Humana gold choice mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
14	Humana gold plus mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
15	Molina medicare adv mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
16	UnitedHealthcare mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
17	WellCare mm fee schedule · outpatient	$99.85	$99.85	$99.85 – $99.85
18	Devoted mm fee schedule · outpatient	$107.84	$107.84	$107.84 – $107.84
19	Cigna ppo fee schedule · outpatient	$122.89	$122.89	$122.89 – $122.89
20	Aetna chip km fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
21	Aetna star km fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
22	Bcbs Tx star chip km fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
23	Molina chip km fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
24	Molina star plus km fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
25	Bcbs Tx blue advantangehmo fee schedule · outpatient	$346.33	$346.33	$346.33 – $346.33

Page 1 of 2 · 35 rates

Last updated: Jan 13, 2026

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