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
Peritoneogram S&I
Eureka, IL
See all hospitals reporting CPT 74190 →Price type
Carle Eureka Hospital’s median price of $414 is 28% below the median hospital's median price ($575), higher than 23% 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: 9 payers, 21 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 | Aetna commercial fee schedule · outpatient | $44 | $44 | $3 | 6% | — | $41 – $46 |
| 2 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 5 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 6 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 7 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 8 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $387 | $387 | — | — | — | $387 – $387 |
| 9 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $412 | $412 | — | — | — | $412 – $412 |
| 10 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $414 | $414 | — | — | — | $414 – $414 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $414 | $414 | — | — | — | $414 – $414 |
| 12 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $426 | $426 | — | — | — | $426 – $426 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $426 | $426 | — | — | — | $426 – $426 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $530 | $530 | — | — | — | $530 – $530 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $533 | $533 | — | — | — | $533 – $533 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $568 | $568 | — | — | — | $568 – $568 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $568 | $568 | — | — | — | $568 – $568 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $576 | $576 | — | — | — | $576 – $576 |
| 19 | WellCare medicare advantage hmo case rate · outpatient | $586 | $586 | — | — | — | $586 – $586 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $644 | $644 | — | — | — | $644 – $644 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $722 | $722 | — | — | — | $722 – $722 |
Last updated: Apr 15, 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.