Pelvis X-ray at St.davids Surgical 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 PELVIS 1/2 VIEWS

Austin, TX

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Pricing by billing methodology

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How this price compares nationally

St.davids Surgical Hospital’s median price of $167 is 24% above the median hospital's median price ($134), higher than 62% of the 2,718 hospitals reporting CPT 72170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72170 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 10 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	$23	$23	—	—	—	$23 – $23
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
5	Humana mgmcd fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
6	Aetna Better Health mcd fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
11	Aetna narrownetwork fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
12	Humana hmo percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
13	Humana ppo percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
14	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
15	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
16	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
17	Cigna newbusinessnetwork fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
18	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
19	Cigna hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
20	Cigna openaccess fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
21	Cigna openaccessplus fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
22	Aetna comm fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
23	Aetna meritain fee schedule · outpatient	$165	$165	—	—	—	$165 – $165
24	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
25	Cigna ppo fee schedule · outpatient	$192	$192	—	—	—	$192 – $192

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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