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
$1
Average
$271
Median
$185
High
$2.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
812 hospitals; the 90th percentile is 5.4× 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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1,130 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | 1–10 | $179 – $179 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $246 | $246 | — | — | 1–10 | $246 – $246 |
| 4 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 2 | $190 | $190 | — | — | 1–10 | $190 – $190 |
| 5 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 2 | $319 | $319 | $128 | 40% | 1–10 | $191 – $447 |
| 7 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $45 | $45 | $22 | 49% | 1–10 | $23 – $68 |
| 8 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $221 | $221 | — | — | 1–10 | $221 – $221 |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT fee schedule · outpatient | 2 | $357 | $357 | $14 | 4% | 1–10 | $343 – $371 |
| 10 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 11 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $260 | $260 | $163 | 63% | 1–10 | $97 – $423 |
| 12 | Wesley Health System LLC Hattiesburg, MS facility · other · outpatient | 2 | $142 | $142 | $5 | 3% | 1–10 | $137 – $147 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 14 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
| 15 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $185 | $185 | — | — | — | $185 – $185 |
| 16 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 17 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 18 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 19 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $283 | $283 | — | — | — | $283 – $283 |
| 20 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $328 | $328 | $0 | 0% | — | $327 – $328 |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 4 | $246 | $255 | $31 | 12% | — | $225 – $301 |
| 23 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 24 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 25 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $255 | $255 | $88 | 34% | — | $167 – $343 |
← Payers reporting CPT 74250 · Snapshot 20261111T120946Z-9134e7f7