Upper GI X-ray with contrast dye at Ascension Seton

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

X-RAY XM UPR GI TRC 1CNTRST

Luling, TX

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How this price compares nationally

Ascension Seton’s median price of $225 is 18% below the median hospital's median price ($275), higher than 38% of the 2,467 hospitals reporting CPT 74240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74240 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 54 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 4221_chirp blue cross star (ebd) outpatient 20241201 fee schedule · both	$65	$65	—	—	—	$65 – $65
2	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 fee schedule · both	$65	$65	—	—	—	$65 – $65
3	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 fee schedule · both	$65	$65	—	—	—	$65 – $65
4	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 fee schedule · both	$65	$65	—	—	—	$65 – $65
5	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
6	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$101	$101	—	—	—	$101 – $101
7	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$101	$101	—	—	—	$101 – $101
8	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$101	$101	—	—	—	$101 – $101
9	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$101	$101	—	—	—	$101 – $101
10	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$101	$101	—	—	—	$101 – $101
11	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$101	$101	—	—	—	$101 – $101
12	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$107	$107	—	—	—	$107 – $107
13	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$107	$107	—	—	—	$107 – $107
14	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$107	$107	—	—	—	$107 – $107
15	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$107	$107	—	—	—	$107 – $107
16	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
17	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
18	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
19	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$125	$125	—	—	—	$125 – $125
20	Humana 2668_humana hmo 20230701 other · outpatient	$155	$155	—	—	—	$155 – $155
21	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
22	Blue Cross Blue Shield 3596_blue cross chip/star kids (ebd) inpatient 20240901 fee schedule · both	$225	$225	—	—	—	$225 – $225
23	Blue Cross Blue Shield 3695_chirp blue cross star (ebd) inpatient 20240901 fee schedule · both	$225	$225	—	—	—	$225 – $225
24	UnitedHealthcare 3739_chirp uhc star (ebd) inpatient 20240901 fee schedule · both	$225	$225	—	—	—	$225 – $225
25	UnitedHealthcare 3750_chirp uhc star plus (ebd) inpatient 20240901 fee schedule · both	$225	$225	—	—	—	$225 – $225

Page 1 of 3 · 54 rates

Last updated: Jan 1, 2026

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