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 SMALL INTESTINE/SCOUT W CON
Mesa, AZ
See all hospitals reporting CPT 74250 →Price type
Agh Mesa Llc’s median price of $210 is 20% below the median hospital's median price ($262), higher than 36% of the 2,493 hospitals reporting CPT 74250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 17 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 2 | Humana medicare|all plans fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 3 | WellCare medicare|all plans fee schedule · outpatient | $190 | $190 | — | — | — | $190 – $190 |
| 4 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 5 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 6 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 7 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 8 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 9 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 10 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 11 | UnitedHealthcare commercial|options fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 12 | Cigna commercial|all other plans fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 13 | Cigna commercial|ppo fee schedule · outpatient | $646 | $646 | — | — | — | $646 – $646 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $703 | $703 | — | — | — | $703 – $703 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
| 17 | Aetna commercial|ppo fee schedule · outpatient | $851 | $851 | — | — | — | $851 – $851 |
Last updated: Feb 28, 2026
See Small bowel X-ray with serial films pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.