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
$1.3k
Median
$448
High
$32.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1444 hospitals; the 90th percentile is 15.2× 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.
Filter by billing methodology
Filter by billing class
2,217 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.4k | $1.4k | $742 | 51% | 22–49 | $399 – $2.4k |
| 2 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 2 | $747 | $747 | — | — | 6–60 | $747 – $747 |
| 3 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 4 | $645 | $751 | $487 | 65% | 4–40 | $197 – $1.6k |
| 4 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 3 | $217 | $300 | $176 | 59% | 3–30 | $138 – $561 |
| 5 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $321 | $466 | $362 | 78% | 3–30 | $166 – $1.2k |
| 6 | Northwestern Medicine Delnor Hospital Geneva, IL percent of total billed charges · outpatientfrom % of charges | 3 | $5.6k | $9.3k | $9.6k | 103% | 3–30 | $291 – $22.7k |
| 7 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $170 | $203 | $63 | 31% | 2–20 | $148 – $291 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.5k | $1.8k | $553 | 31% | 2–20 | $1.3k – $2.6k |
| 9 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 2 | $727 | $727 | $12 | 2% | 2–20 | $713 – $742 |
| 10 | Barnes Jewish Hospital St. Louis, MO case rate · outpatient | 3 | $9.4k | $8.2k | $2.2k | 27% | 1–10 | $5.1k – $10.0k |
| 11 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $297 | $297 | — | — | 1–10 | $297 – $297 |
| 13 | Connecticut Children's Hartford, CT percent of total billed charges · bothfrom % of charges | 1 | $803 | $803 | — | — | 1–10 | $803 – $803 |
| 14 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $1.1k | $405 | 39% | 1–10 | $522 – $2.0k |
| 15 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $1.1k | $405 | 39% | 1–10 | $522 – $2.0k |
| 16 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN per diem · both | 4 | $5.7k | $5.6k | $283 | 5% | 1–10 | $5.1k – $5.9k |
| 17 | Northside Hospital, Inc. Lawrenceville, GA other · outpatient | 1 | $3.9k | $3.9k | $3.7k | 97% | 1–10 | $113 – $7.6k |
| 18 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 12 | $1.2k | $1.1k | $405 | 39% | 1–10 | $522 – $2.0k |
| 19 | Saint Luke’s East Hospital Summit, MO case rate · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 20 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · bothfrom % of charges | 10 | $822 | $811 | $226 | 28% | 1–10 | $439 – $1.0k |
| 21 | Saint Luke’s East Hospital Summit, MO percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 22 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $494 | $494 | — | — | 1–10 | $494 – $494 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 24 | ADC Endoscopy Specialists Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
← Payers reporting CPT 49465 · Snapshot 20261111T120946Z-9134e7f7