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
X-RAY GUIDE INTESTINAL TUBE
Boulder, CO
See all hospitals reporting CPT 74355 →Price type
Boulder Community Health’s median price of $87 is 59% below the median hospital's median price ($211), higher than 13% of the 1,242 hospitals reporting CPT 74355. 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, 20 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 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Aetna medicare advantage professional · case rate · both | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Devoted medicare advantage professional · fee schedule · both | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Anthem managed care facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 7 | Anthem commercial facility · fee schedule · outpatient | $39 | $49 | $24 | 49% | — | $34 – $103 |
| 8 | Kaiser commercial professional · fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $51 | $58 | $21 | 37% | — | $36 – $87 |
| 10 | Humana medicare advantage professional · fee schedule · both | $87 | $81 | $36 | 44% | — | $36 – $122 |
| 11 | Aetna medicare advantage professional · fee schedule · both | $122 | $122 | $19 | 15% | — | $103 – $140 |
| 12 | Anthem commercial professional · fee schedule · both | $125 | $125 | $60 | 48% | — | $45 – $229 |
| 13 | Aetna commercial professional · fee schedule · both | $148 | $134 | $61 | 46% | — | $53 – $201 |
| 14 | Aetna ppo professional · fee schedule · both | $148 | $134 | $61 | 46% | — | $53 – $201 |
| 15 | MultiPlan commercial professional · fee schedule · both | $154 | $140 | $64 | 46% | — | $56 – $210 |
| 16 | Phcs commercial professional · fee schedule · both | $154 | $140 | $64 | 46% | — | $56 – $210 |
| 17 | Cigna commercial professional · fee schedule · both | $167 | $152 | $69 | 46% | — | $60 – $228 |
| 18 | Anthem managed care professional · fee schedule · both | $169 | $153 | $70 | 46% | — | $61 – $229 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $188 | $168 | $78 | 46% | — | $65 – $253 |
| 20 | Cigna commercial facility · fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
Last updated: Sep 16, 2026
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