X-ray of sacroiliac joints, 3 or more views at St. Joseph Health System, LLC

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 Sacroiliac Joints Minimum 3 V DR

Wayne, IN

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Pricing by billing methodology

Price type

How this price compares nationally

St. Joseph Health System, LLC’s median price of $105 is 27% below the median hospital's median price ($143), higher than 24% 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. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 13 payers, 43 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	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$20	$70	$80	114%	—	$8 – $182
2	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$20	$70	$80	114%	—	$8 – $182
3	Anthem anthem in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
4	Caresource caresource hhw in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
5	Caresource caresource in hip facility · other · outpatient	$70	$70	—	—	—	$70 – $70
6	Humana humana pathways in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
7	Medicaid in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
8	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
9	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
10	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$22	$79	$89	114%	—	$9 – $205
11	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$22	$79	$89	114%	—	$9 – $205
12	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$22	$79	$89	114%	—	$9 – $205
13	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
14	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$28	$100	$113	114%	—	$12 – $259
15	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$28	$100	$113	114%	—	$12 – $259
16	Tricare node tricare facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
17	Aetna node aetna mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
18	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
19	Humana node humana mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
20	Anthem anthem in hip facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
21	Optum node united optum va ccn facility · per diem · outpatient	$111	$111	—	—	—	$111 – $111
22	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
23	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$41	$147	$167	114%	—	$17 – $384
24	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$41	$147	$167	114%	—	$17 – $384
25	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$42	$149	$170	114%	—	$17 – $389

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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