X-ray imaging for widening of an internal passage

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dx or Egd W/Dilatation

Wellmark pricing summary

Low

$27

Average

$364

Median

$162

High

$1.8k

Wellmark rate distribution

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49 hospital rates

#		Plans
1	Avera McKennan Hospital Sioux Falls, SD case rate · outpatient	2	$886	$886	—	—	2–20	$886 – $886
2	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	4	$180	$154	$87	57%	—	$25 – $284
3	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges	1	$763	$763	—	—	—	$763 – $763
4	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges	1	$763	$763	—	—	—	$763 – $763
5	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	4	$180	$154	$87	57%	—	$25 – $284
6	Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both	4	$180	$154	$87	57%	—	$25 – $284
7	Grinnell Regional Medical Center Grinnell, IA fee schedule · both	4	$180	$154	$87	57%	—	$25 – $284
8	Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient	2	$493	$493	$23	5%	—	$470 – $516
9	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient	2	$25	$27	$2	9%	—	$25 – $30
10	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient	2	$25	$27	$2	9%	—	$25 – $30
11	Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient	2	$36	$113	$98	86%	—	$30 – $233
12	Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient	2	$36	$34	$3	8%	—	$30 – $36
13	Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both	1	$330	$330	—	—	—	$330 – $330
14	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$338	$338	—	—	—	$338 – $338
15	MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient	1	$545	$545	—	—	—	$545 – $545
16	MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient	1	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k
17	MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient	2	$1.8k	$1.8k	$876	49%	—	$928 – $2.7k
18	MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient	1	$201	$201	—	—	—	$201 – $201
19	MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient	1	$201	$201	—	—	—	$201 – $201
20	MercyOne Genesis Silvis Medical Center Silvis, IL facility · percent of total billed charges · inpatientfrom % of charges	1	$209	$209	—	—	—	$209 – $209
21	Meriter Hospital, Inc Madison, WI case rate · both	1	$303	$241	$131	54%	—	$59 – $362
22	Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both	4	$180	$154	$87	57%	—	$25 – $284
23	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient	2	$50	$42	$11	26%	—	$27 – $50
24	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient	2	$50	$42	$11	26%	—	$27 – $50
25	Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges	2	$300	$300	—	—	—	$300 – $300

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← Payers reporting CPT 74360 · Snapshot 20261112T181611Z-3fa9fb76

CPT 74360