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
$14
Average
$465
Median
$346
High
$5.2k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
285 hospitals; the 90th percentile is 7.4× 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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378 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA case rate · both | 1 | $391 | $391 | — | — | 75 | $391 – $391 |
| 2 | Fairview Health Services Princeton, MN other · inpatient | 1 | $361 | $361 | — | — | 1–10 | $361 – $361 |
| 3 | Fairview Health Services Princeton, MN other · outpatient | 1 | $361 | $361 | — | — | 1–10 | $361 – $361 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $235 | $242 | $96 | 40% | 1–10 | $126 – $366 |
| 5 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 6 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $350 | $350 | — | — | 1–10 | $350 – $350 |
| 7 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $350 | $350 | — | — | 1–10 | $350 – $350 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $27 | $27 | $9 | 33% | — | $15 – $39 |
| 13 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.0k | $659 | 65% | — | $82 – $1.5k |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 15 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 16 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 2 | $16 | $16 | $5 | 29% | — | $10 – $24 |
| 17 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 18 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $361 | $361 | $4 | 1% | — | $357 – $364 |
| 20 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 21 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $206 | $206 | — | — | — | $206 – $206 |
| 22 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $290 | $290 | — | — | — | $290 – $290 |
| 23 | Appalachian Regional Healthcare, Inc. Harlan, KY fee schedule · outpatient | 1 | $328 | $328 | — | — | — | $328 – $328 |
| 24 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $325 | $325 | — | — | — | $325 – $325 |
| 25 | Banner Churchill Community Hospital Fallon, NV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
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