X-ray of sacroiliac joints, 3 or more views at UPMC Hamot

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

SACROILIAC MIN 3 VIEWS

Erie, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Hamot’s median price of $186 is 30% above the median hospital's median price ($143), higher than 64% 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 UPMC Hamot

Negotiated rates from the hospital’s own file: 8 payers, 34 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	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	Aetna medicaid facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Highmark medicaid facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
6	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$48	$48	$26	55%	—	$22 – $75
7	Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
8	Aetna medicare facility · fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
9	WellCare medicare advantage facility · fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
10	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
11	UnitedHealthcare medicare facility · fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
12	Highmark medicare facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
13	Amerihealth Caritas medicare facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
14	Cigna medicare facility · fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
16	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$169	$169	—	—	—	$169 – $169
17	Highmark upmc emergent facility · fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
18	Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
19	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
20	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
21	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$188	$188	—	—	—	$188 – $188
22	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	—	—	—	$250 – $250
25	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$250	$250	—	—	—	$250 – $250

Page 1 of 2 · 34 rates

Last updated: Mar 6, 2026

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