Abdominal cavity X-ray with contrast, read by radiologist

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

HC DX PERITONEUM

Payers reporting CPT 74190

Payer pricing summary

Low

$77

Average

$657

Median

$591

High

$2.0k

Payer rate distribution

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Filter by billing class

#
1	Medicare other · both · +17 other terms	35	$555	$587	$84	14%	5–50	$502 – $772
2	UnitedHealthcare fee schedule · outpatient · +36 other terms	643	$681	$687	$647	94%	—	$1 – $16.1k
3	Aetna fee schedule · outpatient · +34 other terms	573	$658	$1.4k	$1.4k	98%	—	$1 – $8.9k
4	Cigna fee schedule · outpatient · +28 other terms	456	$547	$716	$685	96%	—	$1 – $5.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	416	$600	$781	$724	93%	—	$1 – $4.0k
6	Humana fee schedule · outpatient · +26 other terms	340	$547	$422	$312	74%	—	$1 – $1.6k
7	Molina fee schedule · outpatient · +29 other terms	212	$492	$357	$369	103%	—	$1 – $2.2k
8	Anthem fee schedule · outpatient · +23 other terms	149	$394	$229	$477	209%	—	$12 – $4.0k
9	WellCare fee schedule · outpatient · +18 other terms	135	$565	$561	$275	49%	—	$19 – $1.3k
10	Kaiser fee schedule · outpatient · +24 other terms	90	$791	$898	$687	77%	—	$22 – $4.0k
11	Ambetter fee schedule · outpatient · +16 other terms	79	$949	$794	$443	56%	—	$3 – $1.8k
12	MultiPlan fee schedule · outpatient · +20 other terms	75	$885	$813	$686	84%	—	$1 – $3.5k
13	Aetna Better Health fee schedule · outpatient · +17 other terms	72	$88	$141	$129	92%	—	$88 – $612
14	Devoted facility · fee schedule · outpatient · +14 other terms	57	$548	$635	$556	88%	—	$509 – $4.9k
15	Oscar facility · fee schedule · outpatient · +19 other terms	56	$826	$720	$303	42%	—	$62 – $1.0k
16	Caresource fee schedule · outpatient · +16 other terms	52	$527	$347	$286	82%	—	$1 – $954
17	First Health fee schedule · outpatient · +16 other terms	50	$571	$539	$668	124%	—	$26 – $3.0k
18	Tricare fee schedule · outpatient · +18 other terms	41	$531	$525	$114	22%	—	$340 – $699
19	Highmark facility · fee schedule · outpatient · +18 other terms	40	$655	$627	$588	94%	—	$16 – $2.5k
20	Optum fee schedule · outpatient · +18 other terms	38	$569	$802	$428	53%	—	$178 – $2.0k
21	Cigna Healthspring fee schedule · outpatient · +9 other terms	32	$278	$331	$229	69%	—	$81 – $583
22	Clover fee schedule · outpatient · +9 other terms	32	$599	$582	$40	7%	—	$493 – $659
23	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$64	$203	$212	105%	—	$44 – $566
24	Medicaid fee schedule · both · +11 other terms	26	$126	$120	$29	24%	—	$15 – $151
25	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$694	$692	$138	20%	—	$521 – $907

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