Hysterosalpingogram X-ray imaging at Affinity Hospital LLC

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

IR-HYSTERSALPINGOGRM

Birmingham, AL

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Pricing by billing methodology

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How this price compares nationally

Affinity Hospital LLC’s median price of $573 is 87% above the median hospital's median price ($307), higher than 81% of the 2,360 hospitals reporting CPT 74740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74740 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 13 payers, 22 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	Tricare node tricare facility · fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
2	Bcbs Al bcbs al all facility · other · outpatient	$208	$208	—	—	93	$208 – $208
3	Humana node humana mcr adv facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
4	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$215	$215	—	—	—	$215 – $215
5	Optum node united optum va ccn facility · fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
6	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
7	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
8	Clover node clover health mcr adv facility · fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
9	Aetna node aetna mcr adv facility · fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
10	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
11	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
12	Cigna cigna all facility · fee schedule · outpatient	$387	$387	—	—	—	$387 – $387
13	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$466	$466	—	—	—	$466 – $466
14	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$466	$466	—	—	—	$466 – $466
15	Aetna aetna all facility · other · outpatient	$573	$573	—	—	1–10	$573 – $573
16	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$927	$927	—	—	—	$927 – $927
17	First Health first health facility · other · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
18	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Apr 1, 2026

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