X-ray of knee, 4 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 Knee Complete 4 V Right 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 $111 is 29% below the median hospital's median price ($156), higher than 27% 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. 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	Anthem anthem in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
2	Caresource caresource hhw in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
3	Caresource caresource in hip facility · other · outpatient	$87	$87	—	—	—	$87 – $87
4	Humana humana pathways in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
5	Medicaid in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
6	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
7	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$87	$87	—	—	—	$87 – $87
8	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
9	Tricare node tricare facility · fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
10	Aetna node aetna mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
11	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
12	Humana node humana mcr adv facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
13	Anthem anthem in hip facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
14	Optum node united optum va ccn facility · per diem · outpatient	$111	$111	—	—	—	$111 – $111
15	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$111	$111	—	—	—	$111 – $111
16	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
17	Anthem anthem in work comp facility · other · outpatient	$177	$177	—	—	—	$177 – $177
18	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$25	$193	$185	96%	—	$10 – $388
19	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$25	$193	$185	96%	—	$10 – $388
20	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$28	$217	$208	96%	—	$11 – $436
21	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$28	$217	$208	96%	—	$11 – $436
22	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$28	$217	$208	96%	—	$11 – $436
23	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$35	$275	$264	96%	—	$14 – $553
24	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$35	$275	$264	96%	—	$14 – $553
25	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$364	$364	—	—	—	$364 – $364

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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