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
$0
Average
$663
Median
$534
High
$67.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1936 hospitals; the 90th percentile is 4.9× 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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3,630 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 2 | $917 | $917 | $542 | 59% | 91–100 | $375 – $1.5k |
| 2 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | — | — | 55–64 | $63 – $63 |
| 3 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $505 | $505 | — | — | 49–67 | $505 – $505 |
| 4 | Carolinas Medical Center Charlotte, NC other · outpatient | 2 | $629 | $629 | $2 | 0% | 38–47 | $628 – $631 |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $801 | $698 | $230 | 33% | 26–44 | $183 – $801 |
| 6 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 2 | $692 | $692 | — | — | 24 | $692 – $692 |
| 7 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 21–30 | $1.3k – $1.3k |
| 8 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 20 | $1.2k – $1.2k |
| 9 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 20 | $1.2k – $1.2k |
| 10 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | $400 | 33% | 19 | $800 – $1.6k |
| 11 | Stormont Vail Healthcare, Inc Topeka, KS percent of total billed charges · bothfrom % of charges | 1 | $202.1k | $202.1k | — | — | 18 | $202.1k – $202.1k |
| 12 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $1.3k | $1.3k | $494 | 38% | 17–26 | $725 – $2.1k |
| 13 | Self Regional Healthcare Greenwood, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $882 | $882 | — | — | 16 | $882 – $882 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.8k | $1.5k | 87% | 15 | $274 – $4.1k |
| 15 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $540 | $540 | $273 | 51% | 14–23 | $267 – $813 |
| 16 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $154 | $197 | $78 | 40% | 14–32 | $154 – $368 |
| 17 | Allina Health Systems Shakopee, MN facility · other · outpatient | 1 | $336 | $336 | — | — | 13 | $336 – $336 |
| 18 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $336 | $336 | — | — | 13 | $336 – $336 |
| 19 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $336 | $336 | — | — | 13 | $336 – $336 |
| 20 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $336 | $336 | — | — | 13 | $336 – $336 |
| 21 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $336 | $336 | — | — | 13 | $336 – $336 |
| 22 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 6 | $522 | $475 | $352 | 74% | 13–31 | $76 – $824 |
| 23 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 6 | $607 | $528 | $310 | 59% | 13 | $82 – $824 |
| 24 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $16.1k | $15.4k | $8.4k | 54% | 13–22 | $5.4k – $29.3k |
| 25 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 12 | $1.3k – $1.3k |
← Payers reporting CPT 74420 · Snapshot 20261112T124536Z-e251e855