Upper GI X-ray with contrast dye at AMH Cath Labs 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

RAD EXM UPR GI TRC W/KUB

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $518 is 90% above the median hospital's median price ($273), higher than 81% of the 2,503 hospitals reporting CPT 74240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74240 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
3	WellCare managed medicaid fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
4	Molina managed medicaid fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
5	Aetna managed medicaid fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$176	$176	—	—	—	$176 – $176
7	Humana medicare advantage case rate · outpatient	$184	$184	—	—	—	$184 – $184
8	Humana medicare advantage ppo case rate · outpatient	$184	$184	—	—	—	$184 – $184
9	Molina medicare advantage case rate · outpatient	$185	$185	—	—	—	$185 – $185
10	WellCare medicare advantage hmo case rate · outpatient	$185	$185	—	—	—	$185 – $185
11	WellCare medicare advantage mmp case rate · outpatient	$194	$194	—	—	—	$194 – $194
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$196	$196	—	—	—	$196 – $196
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$199	$199	—	—	—	$199 – $199
14	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$441	$441	—	—	—	$441 – $441
15	Blue Cross Blue Shield hmo fee schedule · outpatient	$479	$479	—	—	—	$479 – $479
16	Blue Cross Blue Shield exchange fee schedule · outpatient	$492	$492	—	—	—	$492 – $492
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$532	$532	—	—	—	$532 – $532
18	UnitedHealthcare all payer case rate · outpatient	$551	$551	—	—	—	$551 – $551
19	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
20	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$593	$593	—	—	—	$593 – $593
21	UnitedHealthcare ppo case rate · outpatient	$722	$722	—	—	—	$722 – $722
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$746	$746	—	—	—	$746 – $746
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$748	$748	—	—	—	$748 – $748
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$752	$752	—	—	—	$752 – $752
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$752	$752	—	—	—	$752 – $752

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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