Voiding cystourethrogram X-ray 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

CYSTOURETH VOIDING S&I

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $571 is 81% above the median hospital's median price ($316), higher than 79% of the 2,379 hospitals reporting CPT 74455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74455 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	$104	$104	—	—	—	$104 – $104
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
3	WellCare managed medicaid fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
4	Molina managed medicaid fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
5	Aetna managed medicaid fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$240	$240	—	—	—	$240 – $240
7	Humana medicare advantage case rate · outpatient	$250	$250	—	—	—	$250 – $250
8	Humana medicare advantage ppo case rate · outpatient	$250	$250	—	—	—	$250 – $250
9	Molina medicare advantage case rate · outpatient	$252	$252	—	—	—	$252 – $252
10	WellCare medicare advantage hmo case rate · outpatient	$252	$252	—	—	—	$252 – $252
11	WellCare medicare advantage mmp case rate · outpatient	$264	$264	—	—	—	$264 – $264
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$266	$266	—	—	—	$266 – $266
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$271	$271	—	—	—	$271 – $271
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	Blue Cross Blue Shield hmo fee schedule · outpatient	$612	$612	—	—	—	$612 – $612
19	Blue Cross Blue Shield exchange fee schedule · outpatient	$629	$629	—	—	—	$629 – $629
20	Blue Cross Blue Shield ppo fee schedule · outpatient	$680	$680	—	—	—	$680 – $680
21	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$721	$721	—	—	—	$721 – $721
22	UnitedHealthcare ppo case rate · outpatient	$722	$722	—	—	—	$722 – $722
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$723	$723	—	—	—	$723 – $723
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$727	$727	—	—	—	$727 – $727
25	Aetna coventry 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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