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
FL-UPPER GI SINGLE
Park, TX
See all hospitals reporting CPT 74240 →Price type
Ascension Cedar Park’s median price of $125 is 54% below the median hospital's median price ($273), higher than 6% of the 2,503 hospitals reporting CPT 74240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 38 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 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 5 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 6 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 7 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 9 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 10 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 11 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 12 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 13 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 14 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 15 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 16 | Humana 2668_humana hmo 20230701 other · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 17 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 18 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 19 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 20 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 21 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 22 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 fee schedule · both | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 23 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 24 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
| 25 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $517 | $462 | $112 | 24% | — | $242 – $538 |
Last updated: Jan 1, 2026
See Upper GI X-ray with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.