Cervical spine X-ray, 4 or 5 views 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 C-SPINE 4-5 V

Georgetown, TX

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Pricing by billing methodology

Price type

How this price compares nationally

St. David's Georgetown Hospital’s median price of $391 is 145% above the median hospital's median price ($160), higher than 81% of the 2,660 hospitals reporting CPT 72050. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72050 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	$55	$55	—	—	—	$55 – $55
2	Blue Cross Blue Shield chip fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
3	Blue Cross Blue Shield mcd fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
4	Molina chip fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
5	Molina mcdstar fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
6	Molina star+plus fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
7	Molina starkids fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
8	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$64	$64	$3	5%	—	$61 – $67
9	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$64	$64	$3	5%	—	$61 – $67
10	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$64	$64	$3	5%	—	$61 – $67
11	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$64	$64	$3	5%	—	$61 – $67
12	Humana mgmcd fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
13	Aetna Better Health mcd fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
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	Cigna ppo fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
21	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
22	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$219	$219	$10	5%	—	$209 – $229
23	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$219	$219	$10	5%	—	$209 – $229
24	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$219	$219	$10	5%	—	$209 – $229
25	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245	$245	—	—	—	$245 – $245

Page 1 of 2 · 45 rates

Last updated: Sep 1, 2026

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