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 X-Ray Guide, Gu Dilation - IR Nephrostomy Dilation 4 Stone Rmvl Chg
Low
$114
Average
$1.7k
Median
$1.6k
High
$5.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
67 payers; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +33 other terms | 668 | $2.5k | $2.3k | $2.5k | 106% | — | $1 – $60.2k |
| 2 | Aetna fee schedule · outpatient · +33 other terms | 594 | $1.4k | $1.3k | $1.4k | 107% | — | $1 – $14.0k |
| 3 | Cigna fee schedule · outpatient · +29 other terms | 469 | $1.7k | $2.3k | $3.1k | 135% | — | $30 – $35.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 455 | $2.2k | $2.4k | $2.6k | 108% | — | $1 – $14.9k |
| 5 | Humana fee schedule · outpatient · +26 other terms | 355 | $2.0k | $1.2k | $1.1k | 89% | — | $1 – $6.0k |
| 6 | Molina fee schedule · outpatient · +26 other terms | 213 | $1.5k | $1.2k | $1.5k | 125% | — | $1 – $7.5k |
| 7 | Anthem fee schedule · outpatient · +26 other terms | 157 | $472 | $631 | $1.5k | 237% | — | $35 – $15.3k |
| 8 | WellCare fee schedule · outpatient · +17 other terms | 143 | $2.1k | $1.9k | $1.1k | 58% | — | $40 – $4.8k |
| 9 | Kaiser fee schedule · outpatient · +22 other terms | 101 | $2.1k | $2.7k | $2.6k | 96% | — | $41 – $14.6k |
| 10 | MultiPlan fee schedule · outpatient · +21 other terms | 101 | $2.7k | $2.3k | $1.5k | 64% | — | $53 – $7.4k |
| 11 | Ambetter facility · fee schedule · outpatient · +17 other terms | 99 | $3.6k | $3.0k | $1.1k | 39% | — | $144 – $7.4k |
| 12 | Devoted facility · fee schedule · outpatient · +13 other terms | 85 | $2.0k | $2.1k | $279 | 13% | — | $20 – $5.1k |
| 13 | Aetna Better Health fee schedule · outpatient · +16 other terms | 77 | $129 | $319 | $721 | 226% | — | $104 – $7.2k |
| 14 | First Health fee schedule · outpatient · +18 other terms | 59 | $2.2k | $1.4k | $1.5k | 106% | — | $49 – $6.4k |
| 15 | Tricare facility · fee schedule · outpatient · +17 other terms | 59 | $2.1k | $2.0k | $506 | 25% | — | $18 – $5.1k |
| 16 | Caresource fee schedule · outpatient · +17 other terms | 57 | $1.4k | $1.3k | $1.0k | 81% | — | $1 – $3.7k |
| 17 | Oscar facility · fee schedule · outpatient · +16 other terms | 57 | $3.1k | $2.5k | $1.2k | 47% | — | $140 – $3.9k |
| 18 | Highmark facility · fee schedule · outpatient · +18 other terms | 53 | $2.4k | $2.3k | $1.8k | 77% | — | $29 – $9.3k |
| 19 | Optum fee schedule · outpatient · +18 other terms | 49 | $1.9k | $2.1k | $1.6k | 77% | — | $44 – $7.7k |
| 20 | Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms | 37 | $133 | $636 | $968 | 152% | — | $87 – $4.7k |
| 21 | Cigna Healthspring fee schedule · outpatient · +6 other terms | 34 | $1.3k | $1.3k | $943 | 75% | — | $120 – $2.2k |
| 22 | Clover fee schedule · outpatient · +7 other terms | 33 | $2.2k | $2.2k | $142 | 6% | — | $1.9k – $2.5k |
| 23 | Medicare fee schedule · outpatient · +14 other terms | 30 | $79 | $866 | $1.0k | 116% | — | $68 – $2.7k |
| 24 | Medica fee schedule · outpatient · +19 other terms | 28 | $529 | $590 | $606 | 103% | — | $38 – $2.6k |
| 25 | Medicaid fee schedule · outpatient · +10 other terms | 28 | $92 | $349 | $926 | 266% | — | $1 – $5.0k |
← Hospitals reporting CPT 74485 · Snapshot 20261113T090226Z-3ce6c0b8