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
X-Ray Cystogram|PROFESSIONAL COMPONENT|REDUCED SERVICES
Low
$1
Average
$644
Median
$488
High
$57.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1642 hospitals; the 90th percentile is 10.9× 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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2,502 hospital rates
iThe hospitals that file a Cigna 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 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC percent of total billed charges · outpatientfrom % of charges | 4 | $506 | $515 | $120 | 23% | 4–40 | $367 – $679 |
| 2 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 5 | $61 | $49 | $21 | 43% | 2–20 | $8 – $63 |
| 3 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $230 | $275 | $85 | 31% | 2–20 | $201 – $394 |
| 4 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $217 | $260 | $80 | 31% | 2–20 | $190 – $373 |
| 5 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $303 | $303 | — | — | 2–20 | $303 – $303 |
| 6 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $303 | $303 | — | — | 2–20 | $303 – $303 |
| 7 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 2–20 | $1.5k – $1.5k |
| 8 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $698 | $698 | — | — | 1–10 | $698 – $698 |
| 9 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $863 | $863 | — | — | 1–10 | $863 – $863 |
| 10 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 1 | $863 | $863 | — | — | 1–10 | $863 – $863 |
| 11 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $863 | $863 | — | — | 1–10 | $863 – $863 |
| 12 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $112 | $102 | $15 | 15% | 1–10 | $81 – $114 |
| 13 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 3 | $90 | $88 | $4 | 5% | 1–10 | $82 – $91 |
| 14 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $870 | $870 | — | — | 1–10 | $870 – $870 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · inpatientfrom % of charges | 2 | $1.5k | $1.5k | $41 | 3% | 1–10 | $1.5k – $1.5k |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $41 | 3% | 1–10 | $1.5k – $1.5k |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 18 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $832 | $709 | $406 | 57% | 1–10 | $39 – $1.1k |
| 19 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 21 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 22 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT fee schedule · outpatient | 1 | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 23 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 24 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 25 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 3 | $206 | $206 | — | — | 1–10 | $206 – $206 |
← Payers reporting CPT 74430 · Snapshot 20261111T120946Z-9134e7f7