Cystogram X-ray with three or more views 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 CYSTOGRAM S&I

Arlington, TX

See all hospitals reporting CPT 74430 →

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $571 is 52% above the median hospital's median price ($377), higher than 79% of the 2,430 hospitals reporting CPT 74430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74430 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	$41	$41	—	—	—	$41 – $41
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
3	WellCare managed medicaid fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
4	Molina managed medicaid fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
5	Aetna managed medicaid fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
7	Humana medicare advantage case rate · outpatient	$365	$365	—	—	—	$365 – $365
8	Humana medicare advantage ppo case rate · outpatient	$365	$365	—	—	—	$365 – $365
9	Molina medicare advantage case rate · outpatient	$369	$369	—	—	—	$369 – $369
10	WellCare medicare advantage hmo case rate · outpatient	$369	$369	—	—	—	$369 – $369
11	WellCare medicare advantage mmp case rate · outpatient	$386	$386	—	—	—	$386 – $386
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$390	$390	—	—	—	$390 – $390
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$397	$397	—	—	—	$397 – $397
14	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$426	$426	—	—	—	$426 – $426
15	UnitedHealthcare all payer case rate · outpatient	$551	$551	—	—	—	$551 – $551
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$568	$568	—	—	—	$568 – $568
17	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$573	$573	—	—	—	$573 – $573
18	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$721	$721	—	—	—	$721 – $721
19	UnitedHealthcare ppo case rate · outpatient	$722	$722	—	—	—	$722 – $722
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$723	$723	—	—	—	$723 – $723
21	Aetna asa percent of total billed charges · outpatientfrom % of charges	$727	$727	—	—	—	$727 – $727
22	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$727	$727	—	—	—	$727 – $727
23	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$773	$773	—	—	—	$773 – $773
24	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$902	$902	—	—	—	$902 – $902
25	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$902	$902	—	—	—	$902 – $902

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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