X-ray of knee, 4 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 knee, 4 or more views

Helena, CA

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Pricing by billing methodology

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How this price compares nationally

St Helena Hospital’s median price of $205 is 32% above the median hospital's median price ($156), higher than 63% of the 2,635 hospitals reporting CPT 73564. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73564 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	Cigna cigna-all other plans fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
6	Kaiser kaiser-all other plans fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
7	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
8	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
9	Medicaid medi-cal fee schedule · outpatient	$28	$28	—	—	—	$28 – $28
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
11	UnitedHealthcare uhc jll fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
12	UnitedHealthcare uhc options ppo fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
13	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
14	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$171	$129	$73	57%	—	$2 – $171
15	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
16	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
17	Blue Cross Blue Shield tricare blue shield other · outpatient	$139	$139	—	—	—	$139 – $139
18	Kaiser kaiser mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
19	UnitedHealthcare uhc mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
20	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
21	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$205	$155	$88	57%	—	$2 – $205
22	Aetna aetna-all plans fee schedule · outpatient	$199	$161	$65	41%	—	$48 – $199
23	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$587	$581	$430	74%	—	$27 – $1.3k
24	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$609	$615	$271	44%	6–60	$209 – $1.1k
25	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$618	$625	$276	44%	15	$212 – $1.1k

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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