Upper GI X-ray with contrast dye

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 DI X-RAY XM UPR GI TRC 2CNTRST

Payers reporting CPT 74246

Payer pricing summary

Low

$95

Average

$415

Median

$376

High

$1.3k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	49	$186	$213	$97	45%	436–643	$163 – $689
2	Anthem fee schedule · outpatient · +33 other terms	200	$293	$244	$231	94%	147–291	$4 – $1.6k
3	Bcbs Al facility · other · outpatient · +4 other terms	5	$177	$185	$18	9%	142–169	$159 – $208
4	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	526	$316	$350	$262	75%	65–146	$1 – $4.0k
5	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$409	$409	—	—	56	$409 – $409
6	UnitedHealthcare fee schedule · outpatient · +38 other terms	785	$292	$299	$225	75%	25–106	$1 – $5.2k
7	Aetna fee schedule · outpatient · +37 other terms	696	$233	$410	$629	153%	18–180	$1 – $18.2k
8	Cigna fee schedule · outpatient · +33 other terms	520	$380	$390	$324	83%	8–80	$34 – $3.8k
9	Humana fee schedule · outpatient · +33 other terms	426	$188	$303	$353	116%	6–60	$1 – $2.1k
10	Molina fee schedule · outpatient · +35 other terms	264	$187	$191	$89	47%	6–60	$1 – $845
11	Bcbs In other · both · +1 other terms	11	$640	$661	$104	16%	4–40	$426 – $850
12	Medica fee schedule · outpatient · +24 other terms	53	$323	$381	$243	64%	3–30	$34 – $1.3k
13	Bcbs Ar fee schedule · both	1	$178	$178	—	—	2–20	$178 – $178
14	Caresource fee schedule · outpatient · +22 other terms	89	$189	$211	$75	36%	1–10	$1 – $445
15	WellCare fee schedule · outpatient · +27 other terms	188	$180	$186	$75	40%	—	$34 – $580
16	MultiPlan fee schedule · outpatient · +24 other terms	128	$688	$741	$638	86%	—	$55 – $2.5k
17	Ambetter fee schedule · outpatient · +25 other terms	117	$303	$263	$173	66%	—	$20 – $1.5k
18	Kaiser fee schedule · outpatient · +26 other terms	109	$255	$347	$290	84%	—	$43 – $2.0k
19	Devoted facility · fee schedule · outpatient · +20 other terms	101	$178	$223	$420	189%	—	$152 – $4.9k
20	Aetna Better Health fee schedule · outpatient · +19 other terms	88	$153	$159	$57	36%	—	$93 – $645
21	Tricare facility · fee schedule · outpatient · +21 other terms	80	$176	$253	$446	176%	—	$79 – $4.6k
22	Oscar facility · fee schedule · outpatient · +21 other terms	71	$256	$251	$75	30%	—	$70 – $494
23	First Health fee schedule · outpatient · +20 other terms	67	$357	$494	$571	116%	—	$51 – $2.1k
24	Highmark facility · fee schedule · outpatient · +22 other terms	67	$251	$242	$185	77%	—	$32 – $806
25	Optum fee schedule · outpatient · +25 other terms	58	$164	$501	$660	132%	—	$46 – $2.7k

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