Cervical spine X-ray, 4 or 5 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 upper spine, 4-5 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 $250 is 57% above the median hospital's median price ($159), higher than 68% of the 2,694 hospitals reporting CPT 72050. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72050 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	$14	$14	—	—	—	$14 – $14
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
4	Kaiser kaiser mcr adv fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
5	Cigna cigna-all other plans fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
6	Kaiser kaiser-all other plans fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
7	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
8	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
9	Medicaid medi-cal fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
11	UnitedHealthcare uhc jll fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
12	UnitedHealthcare uhc options ppo fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
13	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
14	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
15	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
16	Blue Cross Blue Shield tricare blue shield other · outpatient	$139	$139	—	—	—	$139 – $139
17	Kaiser kaiser mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
18	UnitedHealthcare uhc mcr adv other · outpatient	$139	$139	—	—	—	$139 – $139
19	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$247	$186	$106	57%	—	$2 – $247
20	Aetna aetna-all plans fee schedule · outpatient	$243	$197	$80	41%	—	$58 – $243
21	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
22	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$297	$223	$128	57%	—	$2 – $297
23	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$558	$547	$381	70%	—	$31 – $1.0k
24	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$599	$580	$220	38%	3–30	$301 – $839
25	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$608	$588	$224	38%	3–30	$305 – $852

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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