Small bowel X-ray with serial films at Bluffton Health System LLC

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

RF Small Bowel Gastrografin w Film DR

Bluffton, IN

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Pricing by billing methodology

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How this price compares nationally

Bluffton Health System LLC’s median price of $278 is 6% above the median hospital's median price ($262), higher than 54% of the 2,525 hospitals reporting CPT 74250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74250 at Bluffton Health System LLC

Negotiated rates from the hospital’s own file: 11 payers, 34 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	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$164	$164	—	—	—	$164 – $164
2	Tricare node tricare facility · fee schedule · outpatient	$176	$176	—	—	—	$176 – $176
3	Aetna node aetna mcr adv facility · other · outpatient	$183	$183	—	—	—	$183 – $183
4	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
5	Anthem anthem in hip facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
6	Humana node humana choicecare mcr adv facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
7	Optum node united optum va ccn facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
8	Caresource node caresource mcr adv facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$186	$186	—	—	—	$186 – $186
10	Anthem anthem in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
11	Caresource caresource hhw in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
12	Caresource caresource in hip facility · other · outpatient	$234	$234	—	—	—	$234 – $234
13	Humana humana pathways in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
14	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
15	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
16	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$278	$278	—	—	—	$278 – $278
17	Anthem anthem in work comp facility · other · outpatient	$297	$297	—	—	—	$297 – $297
18	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$668	$473	$276	58%	—	$82 – $668
19	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$746	$528	$309	58%	—	$91 – $746
20	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$763	$540	$316	58%	—	$93 – $763
21	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$763	$540	$316	58%	—	$93 – $763
22	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$763	$540	$316	58%	—	$93 – $763
23	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$763	$540	$316	58%	—	$93 – $763
24	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$610	$610	—	—	—	$610 – $610
25	Anthem anthem in healthsync facility · fee schedule · outpatient	$625	$625	—	—	—	$625 – $625

Page 1 of 2 · 34 rates

Last updated: Apr 1, 2026

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