X-ray of mastoid bones, fewer than 3 views per side at St. David's Georgetown 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 MASTOIDS < 3V PS BI

Georgetown, TX

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Pricing by billing methodology

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $512 is 332% above the median hospital's median price ($119), higher than 96% of the 1,746 hospitals reporting CPT 70120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70120 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 11 payers, 45 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 mgmcd fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
2	Blue Cross Blue Shield chip fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
3	Blue Cross Blue Shield mcd fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
4	Molina chip fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
5	Molina mcdstar fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
6	Molina star+plus fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
7	Molina starkids fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
8	Humana mgmcd fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
9	Aetna Better Health mcd fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
10	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$69	$81	$16	20%	—	$69 – $104
11	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$69	$81	$16	20%	—	$69 – $104
12	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$69	$81	$16	20%	—	$69 – $104
13	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$69	$81	$16	20%	—	$69 – $104
14	Cigna newbusinessnetwork fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
15	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
16	Cigna hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
17	Cigna openaccess fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
18	Cigna openaccessplus fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
19	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
20	Aetna narrownetwork fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
21	Cigna ppo fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
22	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
23	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
24	UnitedHealthcare smallgroup fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
25	Aetna comm fee schedule · outpatient	$256	$256	—	—	—	$256 – $256

Page 1 of 2 · 45 rates

Last updated: Sep 1, 2026

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