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
$1
Average
$937
Median
$513
High
$18.0k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1862 hospitals; the 90th percentile is 12.0× 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
3,423 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 3 | $2.1k | $1.8k | $708 | 39% | 39–48 | $701 – $2.4k |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $175 | $175 | — | — | 17 | $175 – $175 |
| 3 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $100 | $100 | — | — | 11 | $100 – $100 |
| 4 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $519 | $682 | $388 | 57% | 3–30 | $389 – $1.5k |
| 5 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 3 | $919 | $1.2k | $634 | 54% | 3–30 | $679 – $2.5k |
| 6 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 7 | Fairview Health Services Edina, MN other · inpatient | 1 | $131 | $131 | — | — | 2–20 | $131 – $131 |
| 8 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 9 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 2 | $770 | $770 | $30 | 4% | 2–20 | $740 – $800 |
| 10 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 2 | $98 | $98 | — | — | 2–20 | $98 – $98 |
| 11 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $217 | $141 | 65% | 2–20 | $117 – $417 |
| 12 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $2.0k | $2.4k | $2.0k | 84% | 2–20 | $182 – $5.0k |
| 13 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $429 | $429 | — | — | 2–20 | $429 – $429 |
| 14 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL case rate · outpatient | 2 | $731 | $731 | $39 | 5% | 2–20 | $692 – $770 |
| 15 | Northwestern Medicine Delnor Hospital Geneva, IL case rate · outpatient | 2 | $731 | $731 | $39 | 5% | 2–20 | $692 – $770 |
| 16 | Northwestern Memorial Hospital Chicago, IL case rate · outpatient | 2 | $1.0k | $1.0k | $54 | 5% | 2–20 | $973 – $1.1k |
| 17 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $918 | 69% | 2–20 | $410 – $2.2k |
| 18 | Palos Community Hospital Palos Heights, IL case rate · outpatient | 2 | $731 | $731 | $39 | 5% | 2–20 | $692 – $770 |
| 19 | Palos Community Hospital Palos Heights, IL percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $269 | 20% | 2–20 | $1.1k – $1.6k |
| 20 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 4 | $76 | $54 | $29 | 53% | 2–20 | $19 – $79 |
| 21 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 2 | $296 | $263 | $58 | 22% | 2–20 | $163 – $296 |
| 22 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $893 | $893 | $315 | 35% | 2–20 | $578 – $1.2k |
| 23 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 24 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 25 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
← Payers reporting CPT 49465 · Snapshot 20261112T124536Z-e251e855