X-ray of the urinary tract 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

GU PYELOGRAM RETRO S&I

Arlington, TX

See all hospitals reporting CPT 74420 →

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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 $472 is 16% above the median hospital's median price ($406), higher than 60% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 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	$78	$78	—	—	—	$78 – $78
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
3	WellCare managed medicaid fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
4	Molina managed medicaid fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
5	Aetna managed medicaid fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
9	Blue Cross Blue Shield medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
10	Humana medicare advantage case rate · outpatient	$365	$365	—	—	—	$365 – $365
11	Humana medicare advantage ppo case rate · outpatient	$365	$365	—	—	—	$365 – $365
12	Blue Cross Blue Shield traditional fee schedule · outpatient	$367	$367	—	—	—	$367 – $367
13	Molina medicare advantage case rate · outpatient	$369	$369	—	—	—	$369 – $369
14	WellCare medicare advantage hmo case rate · outpatient	$369	$369	—	—	—	$369 – $369
15	WellCare medicare advantage mmp case rate · outpatient	$386	$386	—	—	—	$386 – $386
16	UnitedHealthcare medicare advantage ppo case rate · outpatient	$390	$390	—	—	—	$390 – $390
17	UnitedHealthcare medicare advantage hmo case rate · outpatient	$397	$397	—	—	—	$397 – $397
18	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$426	$426	—	—	—	$426 – $426
19	UnitedHealthcare all payer case rate · outpatient	$551	$551	—	—	—	$551 – $551
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$568	$568	—	—	—	$568 – $568
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$721	$721	—	—	—	$721 – $721
23	UnitedHealthcare ppo case rate · outpatient	$722	$722	—	—	—	$722 – $722
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$723	$723	—	—	—	$723 – $723
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$727	$727	—	—	—	$727 – $727

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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