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.
Original text from hospital filings
HB Contrast Injection Perq Radiologic Eval GI Tube
Low
$0
Average
$601
Median
$319
High
$7.0k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 462 hospitals; the 90th percentile is 8.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $173 | $208 | $53 | 25% | 10–100 | $173 – $289 |
| 2 | Fairview Health Services Minneapolis, MN | $154 | $148 | $65 | 44% | 10–100 | $36 – $227 |
| 3 | Northwestern Medicine Delnor Hospital Geneva, IL | $3.5k | $3.1k | $741 | 24% | 10–100 | $1.9k – $3.5k |
| 4 | Oneida Health ONEIDA, NY | $255 | $286 | $122 | 42% | 6–60 | $42 – $756 |
| 5 | Fairview Health Services Burnsville, MN | $249 | $610 | $517 | 85% | 6–60 | $240 – $1.3k |
| 6 | HealthEast St John's Hospital Maplewood, MN | $133 | $439 | $456 | 104% | 6–60 | $100 – $1.1k |
| 7 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $173 | $173 | — | — | 5–50 | $173 – $173 |
| 8 | Robert Packer Hospital Sayre, PA | $265 | $430 | $205 | 48% | 5–50 | $265 – $805 |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI | $97 | $351 | $343 | 97% | 5–50 | $60 – $800 |
| 10 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $221 | $221 | $2 | 1% | 4–40 | $215 – $228 |
Ask Claude or any MCP client for CPT 49465 pricing at a specific hospital — see how to connect.