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.
Original text from hospital filings
Single contrast X-ray of upper digestive tract
Low
$1
Average
$609
Median
$443
High
$102.8k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1717 hospitals; the 90th percentile is 5.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,568 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $449 | $449 | — | — | 66 | $449 – $449 |
| 2 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 1 | $188 | $188 | — | — | 26 | $188 – $188 |
| 3 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN case rate · both | 5 | $250 | $256 | $31 | 12% | 26–62 | $216 – $304 |
| 4 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 3 | $487 | $489 | $19 | 4% | 21–39 | $467 – $514 |
| 5 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $335 | $335 | — | — | 18 | $335 – $335 |
| 6 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 1 | $94 | $94 | — | — | 15 | $94 – $94 |
| 7 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $190 | $150 | $74 | 49% | 13–22 | $4 – $196 |
| 8 | MIDSTATE MEDICAL CENTER MERIDEN, CT fee schedule · outpatient | 1 | $225 | $225 | — | — | 12 | $225 – $225 |
| 9 | Baystate Medical Center Springfield, MA fee schedule · both | 1 | $40 | $40 | — | — | 11–110 | $40 – $40 |
| 10 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 3 | $554 | $655 | $147 | 22% | 9–90 | $549 – $862 |
| 11 | Harlingen Medical Center Harlingen, TX percent of total billed charges · outpatientfrom % of charges | 1 | $847 | $847 | — | — | 8–80 | $847 – $847 |
| 12 | LEWISGALE HOSPITAL ALLEGHANY LOW MOOR, VA percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.2k | — | — | 8–80 | $2.2k – $2.2k |
| 13 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $172 | $13 | 7% | 6–60 | $144 – $178 |
| 14 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $178 | $172 | $13 | 7% | 6–60 | $144 – $178 |
| 15 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 4 | $594 | $604 | $141 | 23% | 4–40 | $431 – $797 |
| 16 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 4 | $618 | $634 | $130 | 20% | 4–40 | $504 – $797 |
| 17 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $370 | $370 | — | — | 4–40 | $370 – $370 |
| 18 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $116 | $121 | 105% | 3–30 | $30 – $287 |
| 19 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.4k | $284 | 20% | 3–30 | $1.2k – $1.8k |
| 20 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.4k | $284 | 20% | 3–30 | $1.2k – $1.8k |
| 21 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS case rate · both | 5 | $250 | $256 | $31 | 12% | 3–30 | $216 – $304 |
| 22 | Northern Hospital District of Surry County Mount Airy, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $119 | $119 | — | — | 3–30 | $119 – $119 |
| 23 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA percent of total billed charges · outpatientfrom % of charges | 1 | $683 | $683 | — | — | 3–30 | $683 – $683 |
| 24 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $881 | $881 | — | — | 3–30 | $881 – $881 |
| 25 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $881 | $881 | — | — | 3–30 | $881 – $881 |
← Payers reporting CPT 74240 · Snapshot 20261111T120946Z-9134e7f7