Upper GI X-ray with contrast dye at Brandon HMA 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 Upper GI w Air Contrast w or wo KUB

Brandon, MS

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Pricing by billing methodology

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How this price compares nationally

Brandon HMA LLC’s median price of $331 is 20% above the median hospital's median price ($276), higher than 58% of the 2,467 hospitals reporting CPT 74246. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74246 at Brandon HMA LLC

Negotiated rates from the hospital’s own file: 12 payers, 23 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 uhc medicaid ms facility · case rate · outpatient	$136	$136	—	—	—	$136 – $136
2	Molina molina medicaid ms facility · other · outpatient	$137	$137	—	—	—	$137 – $137
3	Caresource caresource truecare facility · other · outpatient	$138	$138	—	—	—	$138 – $138
4	Molina molina chip facility · other · outpatient	$147	$147	—	—	—	$147 – $147
5	Tricare node tricare facility · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
6	Humana node humana mcr adv facility · fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
7	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
8	Optum node united optum va ccn facility · fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
10	Molina node molina mcr adv facility · fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
11	Aetna node first choice aetna mcr adv facility · fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
12	WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
13	Molina molina exchange facility · fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
14	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$364	$364	—	—	—	$364 – $364
15	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$364	$364	—	—	—	$364 – $364
16	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$390	$390	—	—	—	$390 – $390
17	UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges	$547	$547	—	—	—	$547 – $547
18	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$547	$547	—	—	—	$547 – $547
19	Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient	$733	$733	—	—	—	$733 – $733
20	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
23	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Last updated: Apr 1, 2026

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