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
CONTRST X-RAY UPPR GI TRACT
Austin, TX
See all hospitals reporting CPT 74249 →Price type
Ascension Seton’s median price of $173 is 51% below the median hospital's median price ($354), higher than 17% of the 545 hospitals reporting CPT 74249. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 25 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 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 2 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Blue Cross Blue Shield 3694_chirp blue cross star (del) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 5 | Blue Cross Blue Shield 4220_chirp blue cross star (del) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 6 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 7 | UnitedHealthcare 3738_chirp uhc star (del) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 8 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 9 | UnitedHealthcare 3749_chirp uhc star plus (del) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 10 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 11 | UnitedHealthcare 4254_chirp uhc star (del) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 12 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 13 | UnitedHealthcare 4265_chirp uhc star plus (del) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 15 | UnitedHealthcare 4312_uhc star kids (del) outpatient 20241201 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 16 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 17 | UnitedHealthcare 4323_uhc star kids (del) inpatient 20240901 fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 18 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 19 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $627 | $627 | — | — | — | $627 – $627 |
| 20 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $627 | $627 | — | — | — | $627 – $627 |
| 21 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $849 | $849 | — | — | — | $849 – $849 |
| 22 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $849 | $849 | — | — | — | $849 – $849 |
| 23 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Aetna 235_aetna pos 20140601 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Aetna 236_aetna elect choice 20140601 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Jan 1, 2026
See Upper GI barium contrast X-ray with small bowel follow-through pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.