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
$319
Median
$307
High
$2.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
790 hospitals; the 90th percentile is 12.4× 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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1,104 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $18 | $18 | $9 | 50% | 44 | $9 – $27 |
| 2 | Seattle Children's Hospital Seattle, WA professional · fee schedule · inpatient | 2 | $15 | $15 | $7 | 50% | 25 | $7 – $22 |
| 3 | Seattle Children's Hospital Seattle, WA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $39 | $9 | 23% | 25 | $30 – $47 |
| 4 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $140 | $140 | — | — | 2–20 | $140 – $140 |
| 5 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $468 | $468 | $105 | 23% | 2–20 | $362 – $573 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 8 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 2 | $101 | $101 | $4 | 4% | 1–10 | $97 – $105 |
| 9 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 10 | Highland District Hospital Hillsboro, OH fee schedule · outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 11 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $321 | $321 | $36 | 11% | 1–10 | $285 – $356 |
| 12 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $341 | $330 | $104 | 31% | 1–10 | $199 – $452 |
| 14 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 15 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 16 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC fee schedule · both | 1 | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 17 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $143 | $143 | — | — | 1–10 | $143 – $143 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 20 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 21 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 22 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 23 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 24 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $852 | $852 | $1 | 0% | — | $851 – $852 |
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