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
HC X-Ray Peritoneum - CT Guided Peritoneogram W Contrast
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$846
Median
$586
High
$8.1k
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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. 307 hospitals; the 90th percentile is 10.2× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Methodist Lebonheur Germantown Hosp GERMANTOWN, TN | $502 | $484 | $86 | 18% | 4–40 | $50 – $517 |
| 2 | Brigham and Women's Faulkner Hospital Boston, MA | $651 | $651 | — | — | 2–20 | $651 – $651 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA | $528 | $661 | $194 | 29% | 2–20 | $516 – $1.1k |
| 4 | Eskenazi Health Indianapolis, IN | $578 | $578 | — | — | 2–20 | $578 – $578 |
| 5 | Stony Brook University Hospital Stony Brook, NY | $679 | $748 | $203 | 27% | 2–20 | $313 – $1.4k |
| 6 | USA Health University Hospital Mobile, AL | $555 | $555 | — | — | 1–10 | $555 – $555 |
| 7 | John Muir Health Concord, CA | $772 | $797 | $102 | 13% | 1–10 | $744 – $1.4k |
| 8 | Prisma Health Richland Hospital COLUMBIA, SC | $540 | $553 | $79 | 14% | 1–10 | $515 – $965 |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN | $1.9k | $1.6k | $634 | 40% | 1–10 | $578 – $2.1k |
| 10 | Mercy Health Saint Marys Grand Rapids, MI | $534 | $536 | $152 | 28% | 1–10 | $305 – $844 |
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