Spinal myelogram of the lower back 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 lower spinal canal with review by radiologist

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 $2.8k is 139% above the median hospital's median price ($1.2k), higher than 89% of the 2,196 hospitals reporting CPT 62304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 62304 at St Helena Hospital

Negotiated rates from the hospital’s own file: 7 payers, 36 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	Medicaid medi-cal fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
2	Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
3	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
4	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
5	Kaiser kaiser mcr adv fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
6	Kaiser kaiser-all other plans fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
7	Cigna cigna-all other plans fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
8	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
9	UnitedHealthcare uhc jll fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
10	UnitedHealthcare uhc options ppo fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
11	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$157	$157	—	—	—	$157 – $157
12	Aetna aetna-all plans fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
13	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
14	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$436	$436	—	—	—	$436 – $436
15	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$883	$883	—	—	—	$883 – $883
16	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$883	$883	—	—	—	$883 – $883
17	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
18	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
19	Blue Cross Blue Shield tricare blue shield other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Kaiser kaiser mcr adv other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	UnitedHealthcare uhc mcr adv other · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.2k	$1.4k	65%	—	$238 – $3.6k
23	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	$362	14%	—	$2.2k – $2.9k
24	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.6k	$367	14%	—	$2.2k – $3.0k
25	UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$389	14%	—	$2.4k – $3.1k

Page 1 of 2 · 36 rates

Last updated: Jul 15, 2026

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