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
HC DI PYELOGRAM RETROGRADE
Low
$1
Average
$484
Median
$357
High
$4.0k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
1366 hospitals; the 90th percentile is 8.9× 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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1,949 hospital rates
iThe hospitals that file a Humana 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 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · both | 1 | $375 | $375 | — | — | 48 | $375 – $375 |
| 2 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $282 | $282 | $86 | 30% | 15 | $197 – $368 |
| 3 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 1 | $219 | $219 | $118 | 54% | 3–30 | $101 – $337 |
| 4 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $477 | $477 | — | — | 3–30 | $477 – $477 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $463 | $463 | $154 | 33% | 2–20 | $309 – $617 |
| 6 | North Oaks Medical Center Drive. Hammond, LA other · both | 3 | $326 | $326 | — | — | 2–20 | $326 – $326 |
| 7 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 8 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 1 | $381 | $381 | — | — | 1–10 | $381 – $381 |
| 9 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $586 | $586 | — | — | 1–10 | $586 – $586 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $323 | $323 | — | — | 1–10 | $323 – $323 |
| 11 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $301 | $301 | — | — | 1–10 | $301 – $301 |
| 12 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 13 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA fee schedule · both | 1 | $375 | $375 | — | — | 1–10 | $375 – $375 |
| 14 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 15 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 16 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $366 | $366 | — | — | 1–10 | $366 – $366 |
| 17 | Spencer Municipal Hospital Spencer, IA case rate · inpatient | 1 | $339 | $339 | — | — | 1–10 | $339 – $339 |
| 18 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $339 | $339 | — | — | 1–10 | $339 – $339 |
| 19 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 22 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 24 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 25 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
← Payers reporting CPT 74420 · Snapshot 20261111T120946Z-9134e7f7