MRI cervical spine without and with contrast 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

MRI C-SPINE W&W/O CONT

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 $1.3k is 51% above the median hospital's median price ($877), higher than 64% of the 2,652 hospitals reporting CPT 72156. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72156 at St. David's Georgetown Hospital

Negotiated rates from the hospital’s own file: 9 payers, 38 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$266	$266	—	—	—	$266 – $266
5	UnitedHealthcare mgmcd fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
6	Blue Cross Blue Shield chip fee schedule · outpatient	$346	$346	—	—	—	$346 – $346
7	Blue Cross Blue Shield mcd fee schedule · outpatient	$346	$346	—	—	—	$346 – $346
8	Molina chip fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
9	Molina mcdstar fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
10	Molina star+plus fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
11	Molina starkids fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
12	Humana mgmcd fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
13	Aetna Better Health mcd fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
14	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$563	$563	—	—	—	$563 – $563
15	UnitedHealthcare allpayerappendix fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
16	UnitedHealthcare smallgroup fee schedule · outpatient	$828	$828	—	—	—	$828 – $828
17	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$871	$871	—	—	—	$871 – $871
18	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$905	$905	—	—	—	$905 – $905
19	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$905	$905	—	—	—	$905 – $905
20	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$905	$905	—	—	—	$905 – $905
21	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
24	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
25	Humana hmo percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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