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
$15
Average
$207
Median
$174
High
$1.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
328 hospitals; the 90th percentile is 1.9× 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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366 hospital rates
iThe hospitals that file a Tricare 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 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $511 | $511 | — | — | 3–30 | $511 – $511 |
| 2 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $179 | $179 | — | — | 2–20 | $179 – $179 |
| 3 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 4 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $167 | $167 | — | — | 2–20 | $167 – $167 |
| 5 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 6 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $226 | $226 | — | — | 1–10 | $226 – $226 |
| 7 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 8 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $185 | $185 | — | — | 1–10 | $185 – $185 |
| 9 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $172 | $172 | — | — | 1–10 | $172 – $172 |
| 10 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $172 | $172 | — | — | 1–10 | $172 – $172 |
| 11 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $186 | $186 | — | — | 1–10 | $186 – $186 |
| 12 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 13 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 14 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 16 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $15 | $15 | — | — | 1–10 | $15 – $15 |
| 17 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 18 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 19 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 20 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $36 | $59 | $36 | 61% | — | $31 – $112 |
| 21 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 22 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $96 | $86 | $32 | 37% | — | $37 – $114 |
| 23 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $96 | $86 | $32 | 37% | — | $37 – $114 |
| 24 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $96 | $86 | $32 | 37% | — | $37 – $114 |
| 25 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $96 | $86 | $32 | 37% | — | $37 – $114 |
← Payers reporting CPT 74240 · Snapshot 20261111T120946Z-9134e7f7