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
XR HYSTEROSALPINGOGRAM S&I
Chicago, IL
See all hospitals reporting CPT 74740 →Price type
Advocate Trinity Hospital’s median price of $491 is 60% above the median hospital's median price ($307), higher than 74% of the 2,360 hospitals reporting CPT 74740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna commercial fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 2 | Cigna commercial fee schedule · outpatient | $339 | $339 | — | — | — | $339 – $339 |
| 3 | UnitedHealthcare commercial case rate · outpatient | $293 | $354 | $141 | 40% | — | $220 – $549 |
| 4 | Ambetter medicare advantage case rate · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 5 | Molina medicare advantage case rate · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 6 | Oscar medicare advantage case rate · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 7 | Blue Cross Blue Shield commercial fee schedule · outpatient | $456 | $456 | $18 | 4% | — | $438 – $473 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 9 | UnitedHealthcare hmo case rate · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 10 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Nov 4, 2025
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