X-ray of sacroiliac joints, 3 or more views at St Helena 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

X-ray of joint between lower spine and hip bone, 3 or more views

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $205 is 43% above the median hospital's median price ($143), higher than 67% 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 Helena Hospital

Negotiated rates from the hospital’s own file: 7 payers, 33 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	Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
4	Kaiser kaiser mcr adv fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
5	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
6	Kaiser kaiser-all other plans fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
7	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
8	Cigna cigna-all other plans fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
9	Medicaid medi-cal fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
11	UnitedHealthcare uhc jll fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
12	UnitedHealthcare uhc options ppo fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
13	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
14	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$171	$128	$73	57%	—	$1 – $171
15	Aetna aetna-all plans fee schedule · outpatient	$166	$134	$54	41%	—	$40 – $166
16	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
17	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
18	Blue Cross Blue Shield tricare blue shield other · outpatient	$139	$139	—	—	—	$139 – $139
19	Kaiser kaiser mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
20	UnitedHealthcare uhc mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
21	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
22	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$205	$154	$88	57%	—	$1 – $205
23	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$377	$368	$250	68%	—	$26 – $692
24	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$399	$388	$143	37%	3–30	$208 – $558
25	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$405	$394	$145	37%	—	$212 – $567

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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