X-ray of the urinary tract with contrast dye 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

74420 CONTRST X-RAY URINARY TRACT

Bluffton, IN

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Pricing by billing methodology

Price type

How this price compares nationally

Bluffton Health System LLC’s median price of $369 is 9% below the median hospital's median price ($406), higher than 40% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 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	Anthem anthem in medicaid facility · other · outpatient	$255	$255	—	—	—	$255 – $255
2	Caresource caresource hhw in medicaid facility · other · outpatient	$255	$255	—	—	—	$255 – $255
3	Caresource caresource in hip facility · other · outpatient	$255	$255	—	—	—	$255 – $255
4	Humana humana pathways in medicaid facility · other · outpatient	$255	$255	—	—	—	$255 – $255
5	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$255	$255	—	—	—	$255 – $255
6	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$255	$255	—	—	—	$255 – $255
7	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$152	$315	$367	117%	—	$15 – $940
8	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
9	Tricare node tricare facility · fee schedule · outpatient	$351	$351	—	—	—	$351 – $351
10	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$170	$352	$410	117%	—	$17 – $1.0k
11	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$174	$360	$420	117%	—	$17 – $1.1k
12	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$174	$360	$420	117%	—	$17 – $1.1k
13	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$174	$360	$420	117%	—	$17 – $1.1k
14	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$174	$360	$420	117%	—	$17 – $1.1k
15	Aetna node aetna mcr adv facility · other · outpatient	$363	$363	—	—	—	$363 – $363
16	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
17	Anthem anthem in hip facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
18	Humana node humana choicecare mcr adv facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
19	Optum node united optum va ccn facility · per diem · outpatient	$369	$369	—	—	—	$369 – $369
20	Caresource node caresource mcr adv facility · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
21	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
22	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$215	$443	$517	117%	—	$21 – $1.3k
23	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$215	$443	$517	117%	—	$21 – $1.3k
24	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$225	$465	$542	117%	—	$22 – $1.4k
25	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$554	$554	—	—	—	$554 – $554

Page 1 of 2 · 34 rates

Last updated: Apr 1, 2026

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