Joint imaging, single view 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 JOINT SURVEY 1 V

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

St.davids Surgical Hospital’s median price of $67 is 47% below the median hospital's median price ($126), higher than 15% of the 1,895 hospitals reporting CPT 77077. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77077 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	$8	$8	—	—	—	$8 – $8
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$8	$8	—	—	—	$8 – $8
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
8	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
9	Humana hmo percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
10	Humana ppo percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
11	Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
12	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
13	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$47	$47	—	—	—	$47 – $47
14	Humana mgmcd fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
15	Aetna Better Health mcd fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
16	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$71	$71	—	—	—	$71 – $71
17	First Health ppo percent of total billed charges · outpatientfrom % of charges	$104	$100	$8	8%	—	$89 – $108
18	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
19	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
20	Cigna newbusinessnetwork fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
21	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
22	Cigna hmo fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
23	Cigna openaccess fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
24	Cigna openaccessplus fee schedule · outpatient	$162	$162	—	—	—	$162 – $162
25	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167

Page 1 of 2 · 38 rates

Last updated: Sep 1, 2026

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