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
X-RAY XM SWLNG FUNCJ C+
Waco, TX
See all hospitals reporting CPT 74230 →Price type
Ascension Providence’s median price of $128 is 50% below the median hospital's median price ($257), higher than 7% of the 2,505 hospitals reporting CPT 74230. 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, 30 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 974_bcbs star inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 2 | Molina 891_molina chip inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Superior Healthplan 817_superior star inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Superior Healthplan 856_superior star plus inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 5 | UnitedHealthcare 852_uhc star plus inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 6 | UnitedHealthcare 894_uhc star kids inpatient 20240901 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 7 | UnitedHealthcare 929_uhc star inpatient 20250701 fee schedule · both | $114 | $114 | — | — | — | $114 – $114 |
| 8 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 9 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 10 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 11 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 12 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 13 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 14 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 15 | Cigna 930_cigna 20250701 fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 16 | Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 17 | Tricare 877_tricare outpatient 20250101 other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 18 | Tricare 986_tricare inpatient 20251001 other · inpatient | $174 | $174 | — | — | — | $174 – $174 |
| 19 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $174 | $174 | — | — | — | $174 – $174 |
| 20 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $174 | $174 | — | — | — | $174 – $174 |
| 21 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 22 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $178 | $178 | — | — | — | $178 – $178 |
| 23 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 24 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $178 | $178 | — | — | — | $178 – $178 |
| 25 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $262 | $262 | — | — | — | $262 – $262 |
Last updated: Jan 1, 2026
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