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
HC IR PERITONEOGRAM S&I CHARGE
Boulder, CO
See all hospitals reporting CPT 74190 →Price type
Boulder Community Health’s median price of $645 is 12% above the median hospital's median price ($575), higher than 64% of the 1,793 hospitals reporting CPT 74190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 41 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 | Healthpartners managed medicaid professional · fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Aetna medicare advantage professional · case rate · both | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Devoted medicare advantage professional · fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 6 | Kaiser commercial professional · fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 7 | MultiPlan commercial professional · fee schedule · both | $52 | $57 | $21 | 38% | — | $33 – $85 |
| 8 | Phcs commercial professional · fee schedule · both | $52 | $57 | $21 | 38% | — | $33 – $85 |
| 9 | Cigna commercial professional · fee schedule · both | $57 | $62 | $23 | 38% | — | $36 – $93 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Humana medicare advantage professional · fee schedule · both | $594 | $411 | $275 | 67% | — | $22 – $616 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $588 | $454 | $249 | 55% | — | $22 – $616 |
| 13 | Anthem commercial professional · fee schedule · both | $645 | $485 | $332 | 69% | — | $27 – $878 |
| 14 | UnitedHealthcare commercial professional · fee schedule · both | $790 | $552 | $363 | 66% | — | $39 – $829 |
| 15 | Aetna medicare advantage facility · case rate · outpatient | $583 | $583 | — | — | — | $583 – $583 |
| 16 | Anthem medicare advantage facility · case rate · outpatient | $583 | $583 | — | — | — | $583 – $583 |
| 17 | Aetna commercial professional · fee schedule · both | $867 | $591 | $396 | 67% | — | $32 – $875 |
| 18 | Aetna ppo professional · fee schedule · both | $867 | $591 | $396 | 67% | — | $32 – $875 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $594 | $594 | — | — | — | $594 – $594 |
| 21 | Anthem managed care professional · fee schedule · both | $868 | $595 | $394 | 66% | — | $37 – $878 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $597 | $597 | $3 | 0% | — | $594 – $600 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $600 | $600 | — | — | — | $600 – $600 |
| 24 | Aetna medicare advantage professional · fee schedule · both | $609 | $609 | $3 | 0% | — | $606 – $612 |
| 25 | UnitedHealthcare commercial facility · case rate · outpatient | $645 | $645 | — | — | — | $645 – $645 |
Last updated: Sep 16, 2026
See Abdominal cavity X-ray with contrast, read by radiologist pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.