Fallopian tube catheterization with X-ray imaging 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 FALLOPIAN TUBE

Luling, TX

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How this price compares nationally

Ascension Seton’s median price of $116 is 28% below the median hospital's median price ($162), higher than 34% of the 1,175 hospitals reporting CPT 74742. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74742 at Ascension Seton

Negotiated rates from the hospital’s own file: 3 payers, 9 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 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
2	Humana 2668_humana hmo 20230701 other · outpatient	$81	$81	—	—	—	$81 – $81
3	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
4	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
5	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$116	$116	—	—	—	$116 – $116
6	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
7	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$309	$309	—	—	—	$309 – $309
8	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$338	$338	—	—	—	$338 – $338
9	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$338	$338	—	—	—	$338 – $338

Last updated: Jan 1, 2026

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