X-ray of sacroiliac joints, 3 or more views 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 SI JOINTS 3 + V

Austin, TX

See all hospitals reporting CPT 72202 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

St.davids Surgical Hospital’s median price of $233 is 63% above the median hospital's median price ($143), higher than 71% of the 2,619 hospitals reporting CPT 72202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72202 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.

Filter by billing methodology

Filter by billing class

#
1	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
5	Humana mgmcd fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
6	Aetna Better Health mcd fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
10	Cigna newbusinessnetwork fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
11	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
12	Cigna hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
13	Cigna openaccess fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
14	Cigna openaccessplus fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
15	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
16	Aetna narrownetwork fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
17	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$181	$181	—	—	—	$181 – $181
18	Cigna ppo fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
19	Humana hmo percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
20	Humana ppo percent of total billed charges · outpatientfrom % of charges	$202	$202	—	—	—	$202 – $202
21	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
22	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
23	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$214	$214	—	—	—	$214 – $214
24	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$218	$218	—	—	—	$218 – $218
25	Aetna comm fee schedule · outpatient	$241	$241	—	—	—	$241 – $241

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

Compare to other hospitals

See X-ray of sacroiliac joints, 3 or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.