Esophagus X-ray with contrast

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

Single contrast X-ray of esophagus

Aetna pricing summary

Low

Average

$420

Median

$292

High

$32.6k

Aetna rate distribution

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3,779 hospital rates

#		Plans
1	North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges	3	$243	$314	$164	52%	160	$177 – $633
2	North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges	3	$230	$298	$156	52%	160	$167 – $600
3	BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges	2	$912	$912	$746	82%	90	$166 – $1.7k
4	DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient	4	$722	$564	$273	48%	78	$91 – $722
5	HARTFORD HOSPITAL HARTFORD, CT other · outpatient	1	$73	$73	—	—	72	$73 – $73
6	Saint Francis Hospital and Medical Center Hartford, CT facility · other · both	1	$206	$206	—	—	55	$206 – $206
7	BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges	2	$469	$469	$303	65%	52	$166 – $772
8	High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges	5	$312	$338	$85	25%	52	$217 – $473
9	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both	2	$175	$175	—	—	44–53	$175 – $175
10	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both	2	$175	$175	—	—	44–53	$175 – $175
11	Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges	1	$109	$109	—	—	43	$109 – $109
12	PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both	2	$176	$176	—	—	41–50	$176 – $176
13	Mercy Hospital Springfield Ozark, MO facility · other · outpatient	1	$172	$172	—	—	35	$172 – $172
14	Mercy Hospital Springfield Springfield, MO facility · other · outpatient	1	$172	$172	—	—	35	$172 – $172
15	MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient	1	$73	$73	—	—	31	$73 – $73
16	Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges	1	$576	$576	—	—	31	$576 – $576
17	THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient	1	$73	$73	—	—	31	$73 – $73
18	PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both	2	$188	$188	—	—	28–37	$188 – $188
19	WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient	1	$73	$73	—	—	28	$73 – $73
20	Springhill Memorial Hospital Mobile, AL fee schedule · outpatient	1	$90	$90	—	—	26	$90 – $90
21	Springhill Memorial Hospital Mobile, AL other · outpatient	1	$159	$159	—	—	26	$159 – $159
22	DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient	2	$320	$320	$130	41%	25	$190 – $450
23	Samaritan Medical Center Watertown, NY facility · other · inpatient	2	$328	$328	$151	46%	25–34	$177 – $479
24	HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient	1	$73	$73	—	—	24	$73 – $73
25	HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient	2	$210	$210	$5	3%	23	$204 – $215

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CPT 74220