MRI of lower limb without contrast dye 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI LOW EXT W/O CONT BI

Austin, TX

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How this price compares nationally

St.davids Surgical Hospital’s median price of $600 is 8% below the median hospital's median price ($652), higher than 48% of the 2,603 hospitals reporting CPT 73718. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73718 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	$67	$89	$31	35%	—	$67 – $133
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$67	$89	$31	35%	—	$67 – $133
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$67	$89	$31	35%	—	$67 – $133
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$67	$89	$31	35%	—	$67 – $133
5	Humana mgmcd fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
6	Aetna Better Health mcd fee schedule · outpatient	$290	$290	—	—	—	$290 – $290
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$227	$302	$107	35%	—	$227 – $454
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$227	$302	$107	35%	—	$227 – $454
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$227	$302	$107	35%	—	$227 – $454
10	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
11	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$332	$443	$157	35%	—	$332 – $665
12	Humana hmo percent of total billed charges · outpatientfrom % of charges	$370	$494	$175	35%	—	$370 – $741
13	Humana ppo percent of total billed charges · outpatientfrom % of charges	$370	$494	$175	35%	—	$370 – $741
14	UnitedHealthcare allpayerappendix fee schedule · outpatient	$518	$518	—	—	—	$518 – $518
15	UnitedHealthcare smallgroup fee schedule · outpatient	$518	$518	—	—	—	$518 – $518
16	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$393	$525	$186	35%	—	$393 – $787
17	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$531	$531	—	—	—	$531 – $531
18	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$648	$648	—	—	—	$648 – $648
19	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$600	$800	$283	35%	—	$600 – $1.2k
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$897	$897	—	—	—	$897 – $897
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$897	$897	—	—	—	$897 – $897
22	Blue Cross Blue Shield eposoa fee schedule · outpatient	$993	$993	—	—	—	$993 – $993
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	First Health ppo percent of total billed charges · outpatientfrom % of charges	$920	$1.1k	$416	37%	—	$753 – $1.8k
25	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$1000	$1.3k	$472	35%	—	$1000 – $2.0k

Page 1 of 2 · 31 rates

Last updated: Sep 1, 2026

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