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 small intestine
Low
$85
Average
$375
Median
$338
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 3.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicare other · both · +22 other terms | 45 | $186 | $197 | $37 | 18% | 42–240 | $163 – $402 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +35 other terms | 535 | $283 | $325 | $241 | 74% | 25–61 | $1 – $2.9k |
| 3 | Anthem fee schedule · outpatient · +34 other terms | 205 | $268 | $212 | $207 | 97% | 23–131 | $4 – $1.5k |
| 4 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $409 | $409 | — | — | 21 | $409 – $409 |
| 5 | Aetna fee schedule · outpatient · +37 other terms | 707 | $207 | $381 | $559 | 147% | 10–100 | $1 – $15.6k |
| 6 | UnitedHealthcare fee schedule · outpatient · +38 other terms | 790 | $276 | $282 | $222 | 79% | 5–50 | $1 – $5.2k |
| 7 | Cigna fee schedule · outpatient · +33 other terms | 525 | $325 | $366 | $277 | 75% | 5–50 | $27 – $3.1k |
| 8 | Bcbs Al facility · other · outpatient · +4 other terms | 5 | $177 | $184 | $18 | 10% | 5–50 | $159 – $208 |
| 9 | Molina fee schedule · outpatient · +35 other terms | 265 | $185 | $179 | $92 | 52% | 2–20 | $1 – $845 |
| 10 | Humana fee schedule · outpatient · +32 other terms | 432 | $182 | $278 | $308 | 111% | 1–10 | $1 – $2.7k |
| 11 | First Health fee schedule · outpatient · +20 other terms | 67 | $383 | $443 | $469 | 106% | 1–10 | $46 – $1.8k |
| 12 | Medica fee schedule · outpatient · +26 other terms | 62 | $285 | $290 | $178 | 61% | 1–10 | $27 – $1.0k |
| 13 | WellCare fee schedule · outpatient · +28 other terms | 188 | $180 | $185 | $77 | 42% | — | $30 – $514 |
| 14 | MultiPlan fee schedule · outpatient · +24 other terms | 132 | $703 | $720 | $597 | 83% | — | $49 – $2.7k |
| 15 | Ambetter fee schedule · outpatient · +25 other terms | 119 | $293 | $246 | $132 | 54% | — | $15 – $765 |
| 16 | Kaiser fee schedule · outpatient · +27 other terms | 110 | $254 | $348 | $311 | 89% | — | $38 – $1.6k |
| 17 | Devoted facility · fee schedule · outpatient · +20 other terms | 104 | $176 | $206 | $367 | 178% | — | $52 – $4.9k |
| 18 | Caresource fee schedule · outpatient · +22 other terms | 93 | $181 | $188 | $77 | 41% | — | $1 – $578 |
| 19 | Aetna Better Health fee schedule · outpatient · +19 other terms | 88 | $134 | $142 | $58 | 41% | — | $93 – $645 |
| 20 | Tricare facility · fee schedule · outpatient · +21 other terms | 87 | $176 | $207 | $355 | 171% | — | $48 – $4.6k |
| 21 | Oscar facility · fee schedule · outpatient · +22 other terms | 71 | $256 | $249 | $70 | 28% | — | $126 – $494 |
| 22 | Highmark facility · fee schedule · outpatient · +23 other terms | 67 | $224 | $227 | $173 | 76% | — | $24 – $806 |
| 23 | Medicaid facility · fee schedule · outpatient · +19 other terms | 58 | $122 | $144 | $101 | 70% | — | $23 – $448 |
| 24 | Optum fee schedule · outpatient · +25 other terms | 58 | $163 | $361 | $378 | 105% | — | $41 – $1.6k |
| 25 | Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms | 54 | $59 | $107 | $84 | 78% | — | $23 – $394 |
← Hospitals reporting CPT 74250 · Snapshot 20261111T120946Z-9134e7f7