Esophagus X-ray with double-contrast study

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 X-RAY XM ESOPHAGUS 2CNTRST

Payers reporting CPT 74221

Payer pricing summary

Low

$64

Average

$340

Median

$299

High

$926

Payer rate distribution

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#
1	Medicare other · both · +18 other terms	43	$186	$190	$19	10%	1,135–1,234	$163 – $226
2	Wellmark case rate · outpatient · +20 other terms	19	$172	$268	$114	43%	140–176	$167 – $501
3	Anthem fee schedule · outpatient · +29 other terms	176	$257	$203	$200	99%	127–208	$4 – $1.6k
4	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$300	$300	$109	36%	87–96	$191 – $409
5	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	445	$279	$329	$253	77%	86	$1 – $2.8k
6	Cigna fee schedule · outpatient · +29 other terms	418	$323	$365	$264	72%	21	$1 – $3.1k
7	UnitedHealthcare fee schedule · outpatient · +38 other terms	713	$267	$269	$215	80%	20–83	$1 – $5.2k
8	Aetna fee schedule · outpatient · +36 other terms	599	$195	$383	$650	170%	6–60	$1 – $14.4k
9	Molina fee schedule · outpatient · +30 other terms	240	$181	$173	$92	53%	5–50	$1 – $845
10	Bcbs In other · both · +1 other terms	11	$640	$661	$104	16%	3–30	$426 – $850
11	Medica fee schedule · outpatient · +23 other terms	44	$265	$303	$174	58%	2–20	$31 – $926
12	Bcbs Ar fee schedule · both	1	$178	$178	—	—	2–20	$178 – $178
13	Humana fee schedule · outpatient · +31 other terms	367	$179	$215	$152	71%	1–10	$1 – $1.5k
14	WellCare fee schedule · outpatient · +24 other terms	162	$181	$194	$80	41%	—	$25 – $685
15	Kaiser fee schedule · outpatient · +25 other terms	104	$230	$314	$261	83%	—	$33 – $1.4k
16	MultiPlan fee schedule · outpatient · +23 other terms	93	$431	$612	$502	82%	—	$42 – $1.8k
17	Ambetter fee schedule · outpatient · +20 other terms	88	$305	$274	$120	44%	—	$87 – $634
18	Aetna Better Health fee schedule · outpatient · +19 other terms	85	$121	$136	$65	48%	—	$93 – $645
19	Caresource fee schedule · outpatient · +20 other terms	69	$190	$196	$57	29%	—	$1 – $381
20	Devoted fee schedule · outpatient · +17 other terms	65	$187	$170	$38	22%	—	$75 – $196
21	Highmark facility · fee schedule · outpatient · +19 other terms	61	$199	$202	$169	84%	—	$25 – $806
22	First Health fee schedule · outpatient · +20 other terms	56	$183	$328	$410	125%	—	$39 – $1.5k
23	Oscar fee schedule · outpatient · +20 other terms	55	$308	$246	$142	58%	—	$1 – $501
24	Optum fee schedule · outpatient · +23 other terms	49	$167	$439	$497	113%	—	$35 – $1.9k
25	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	46	$107	$127	$39	31%	—	$56 – $251

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