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

Tricare pricing summary

Low

$25

Average

$191

Median

$172

High

$1.2k

Tricare rate distribution

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386 hospital rates

#		Plans
1	Springhill Memorial Hospital Mobile, AL other · outpatient	1	$161	$161	—	—	20	$161 – $161
2	PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both	1	$167	$167	—	—	17	$167 – $167
3	PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both	1	$167	$167	—	—	17	$167 – $167
4	PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both	1	$167	$167	—	—	13	$167 – $167
5	Baptist Anderson Regional Medical Center Meridian, MS facility · other · outpatient	1	$154	$154	—	—	1–10	$154 – $154
6	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$211	$211	—	—	1–10	$211 – $211
7	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$319	$319	—	—	1–10	$319 – $319
8	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$226	$226	—	—	1–10	$226 – $226
9	METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both	1	$164	$164	—	—	1–10	$164 – $164
10	Massachusetts General Hospital Boston, MA other · both	1	$201	$201	—	—	1–10	$201 – $201
11	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$167	$167	—	—	1–10	$167 – $167
12	Mercy Hospital Fort Smith Smith, AR facility · other · outpatient	1	$167	$167	—	—	1–10	$167 – $167
13	Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient	1	$185	$185	—	—	1–10	$185 – $185
14	Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient	1	$161	$161	—	—	1–10	$161 – $161
15	Mercy Hospital Springfield Ozark, MO facility · other · outpatient	1	$172	$172	—	—	1–10	$172 – $172
16	Mercy Hospital Springfield Springfield, MO facility · other · outpatient	1	$172	$172	—	—	1–10	$172 – $172
17	Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient	1	$156	$156	—	—	1–10	$156 – $156
18	NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient	1	$179	$179	—	—	1–10	$179 – $179
19	NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient	1	$186	$186	—	—	1–10	$186 – $186
20	PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both	1	$165	$165	—	—	1–10	$165 – $165
21	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both	1	$166	$166	—	—	1–10	$166 – $166
22	PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both	1	$166	$166	—	—	1–10	$166 – $166
23	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both	1	$166	$166	—	—	1–10	$166 – $166
24	PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both	1	$166	$166	—	—	1–10	$166 – $166
25	PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC other · both	1	$165	$165	—	—	1–10	$165 – $165

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CPT 74220