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
SP URO URETERAL DILAT S&I
Arlington, TX
See all hospitals reporting CPT 74485 →Price type
AMH Cath Labs LLC’s median price of $2.6k is 28% above the median hospital's median price ($2.0k), higher than 75% of the 1,862 hospitals reporting CPT 74485. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $120 | $120 | — | — | — | $120 – $120 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 4 | Molina managed medicaid fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | UnitedHealthcare all payer case rate · outpatient | $551 | $551 | — | — | — | $551 – $551 |
| 7 | UnitedHealthcare ppo case rate · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 8 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Humana medicare advantage case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | Humana medicare advantage ppo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | Molina medicare advantage case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | WellCare medicare advantage hmo case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | WellCare medicare advantage mmp case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 19 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 23 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 24 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 25 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
Last updated: Apr 21, 2026
See Ureter or urethra dilation with imaging guidance pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.