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

Medicare pricing summary

Low

Average

$207

Median

$179

High

$1.9k

Medicare rate distribution

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250 hospital rates

#		Plans
1	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$158	$158	—	—	193	$158 – $158
2	Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient	1	$162	$162	—	—	154	$162 – $162
3	John Muir Health Walnut Creek, CA other · both	3	$248	$248	—	—	149	$248 – $248
4	PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both	1	$167	$167	—	—	113–122	$167 – $167
5	PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both	1	$168	$168	—	—	102	$168 – $168
6	PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both	1	$168	$168	—	—	102	$168 – $168
7	PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both	1	$167	$167	—	—	97	$167 – $167
8	METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both	1	$163	$163	—	—	95	$163 – $163
9	Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges	1	$75	$75	—	—	86	$75 – $75
10	MVHS, Inc. Utica, NY other · outpatient	1	$219	$219	—	—	77	$219 – $219
11	PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both	1	$167	$167	—	—	74	$167 – $167
12	DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient	1	$185	$185	—	—	63	$185 – $185
13	Mercy Hospital Springfield Ozark, MO facility · other · outpatient	1	$172	$172	—	—	62	$172 – $172
14	Mercy Hospital Springfield Springfield, MO facility · other · outpatient	1	$172	$172	—	—	62	$172 – $172
15	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient	1	$172	$172	—	—	61	$172 – $172
16	Boston Medical Center Boston, MA other · both	1	$204	$204	—	—	60	$204 – $204
17	Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient	1	$161	$161	—	—	60	$161 – $161
18	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$167	$167	—	—	59	$167 – $167
19	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$167	$167	—	—	59	$167 – $167
20	Massachusetts Eye and Ear Boston, MA other · both	1	$211	$211	—	—	58	$211 – $211
21	Massachusetts General Hospital Boston, MA other · both	1	$211	$211	—	—	58–67	$211 – $211
22	John Muir Health Concord, CA other · both	3	$248	$248	—	—	53	$248 – $248
23	PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both	1	$179	$179	—	—	52	$179 – $179
24	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient	1	$149	$149	—	—	45	$149 – $149
25	Brigham and Women's Hospital Boston, MA other · both	1	$211	$211	—	—	41–50	$211 – $211

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CPT 74220