Hysterosalpingogram X-ray imaging

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Review by radiologist of uterine tube and ovary image

Aetna Better Health pricing summary

Low

$14

Average

$167

Median

$90

High

$2.1k

Aetna Better Health rate distribution

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238 hospital rates

#		Plans
1	The Carle Foundation Hospital Urbana, IL other · outpatient	1	$143	$143	—	—	2–20	$143 – $143
2	ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges	1	$170	$170	—	—	1–10	$170 – $170
3	OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient	1	$212	$212	—	—	1–10	$212 – $212
4	Pekin Memorial Hospital Pekin, IL percent of total billed charges · outpatientfrom % of charges	1	$352	$352	—	—	1–10	$352 – $352
5	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient	1	$132	$132	—	—	—	$132 – $132
6	Alexian Brothers Medical Center Village, IL fee schedule · inpatient	1	$273	$273	—	—	—	$273 – $273
7	Alexian Brothers Medical Center Village, IL other · inpatient	1	$265	$265	—	—	—	$265 – $265
8	Alexian Brothers Medical Center Village, IL other · outpatient	1	$265	$265	—	—	—	$265 – $265
9	Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges	1	$231	$231	—	—	—	$231 – $231
10	Appalachian Regional Healthcare, Inc. Middlesboro, KY percent of total billed charges · outpatientfrom % of charges	1	$127	$127	—	—	—	$127 – $127
11	Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges	1	$169	$169	—	—	—	$169 – $169
12	BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient	1	$136	$136	—	—	—	$136 – $136
13	BRFHH MONROE, LLC Monroe, LA other · outpatient	1	$356	$356	—	—	—	$356 – $356
14	Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient	2	$90	$90	—	—	—	$90 – $90
15	Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient	2	$90	$90	—	—	—	$90 – $90
16	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	2	$752	$752	$514	68%	—	$237 – $1.3k
17	Bay Park Community Hospital Oregon, OH facility · other · outpatient	1	$141	$141	—	—	—	$141 – $141
18	Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient	2	$89	$89	$2	2%	—	$87 – $90
19	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
20	Broaddus Hospital Association Inc Philippi, WV facility · fee schedule · outpatient	1	$64	$64	—	—	—	$64 – $64
21	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$61	$61	—	—	—	$61 – $61
22	CAPE CORAL HOSPITAL CAPE CORAL, FL professional · other · inpatient	1	$10	$10	—	—	—	$10 – $10
23	CAPE CORAL HOSPITAL CAPE CORAL, FL professional · other · outpatient	1	$10	$10	—	—	—	$10 – $10
24	CAPE CORAL HOSPITAL CAPE CORAL, FL professional · percent of total billed charges · inpatientfrom % of charges	1	$299	$299	—	—	—	$299 – $299
25	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14