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CPT 74740

XR Hysterosalpingogram HSG DR

Reported by 148 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$174

Average

$494

Median

$324

High

$9.3k

Hospitals reporting this code

#HospitalLocation
1IOM Health System LPFort Wayne, IN$84$161$239$1.0k$114
2Bluffton Health System LLCBluffton, IN$156$161$229$2.5k$106
3Dukes Health System LLCPeru, IN$84$161$278$1.8k$194
4Warsaw Health System LLCWarsaw, IN$84$161$251$3.0k$130
5St. Joseph Health System, LLCWayne, IN$91$161$357$2.4k$527
6Dupont Hospital LLCWayne, IN$91$161$239$1.6k$114
7Natchez Hospital Company LLCNatchez, MS$131$227$673$4.3k$1.2k
8Durant HMA LLCDurant, OK$59$259$279$3.6k$50
9Wesley Health System LLCHattiesburg, MS$55$238$472$1.9k$501
10Jackson HMA LLCJackson, MS$7$207$402$2.7k$578
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