Small bowel X-ray with serial films at Dignity Community Care

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

XR SM INTSTN/SCT W CON FY

Northridge, CA

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Pricing by billing methodology

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How this price compares nationally

Dignity Community Care’s median price of $226 is 14% below the median hospital's median price ($262), higher than 41% of the 2,493 hospitals reporting CPT 74250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74250 at Dignity Community Care

Negotiated rates from the hospital’s own file: 10 payers, 29 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 medicaid\|< 21 fee schedule · outpatient	$126	$126	—	—	1–10	$126 – $126
2	Anthem medicaid\|> 21 fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$136	$136	—	—	—	$136 – $136
5	Molina medicaid\|< 21 fee schedule · outpatient	$190	$190	—	—	1–10	$190 – $190
6	Molina medicaid\|> 21 fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
7	Aetna medicare\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
8	Anthem medicare\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
9	Blue Cross Blue Shield medicare\|all other plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
10	First Health commercial\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
11	Humana commercial\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
12	Humana medicare\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
13	Kaiser medicare\|all plans fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
14	Molina medicare\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
15	UnitedHealthcare medicare\|all plans case rate · outpatient	$226	$226	—	—	—	$226 – $226
16	Aetna commercial\|all other plans fee schedule · outpatient	$299	$299	—	—	—	$299 – $299
17	Aetna commercial\|hmo fee schedule · outpatient	$299	$299	—	—	—	$299 – $299
18	Aetna commercial\|ppo fee schedule · outpatient	$299	$299	—	—	—	$299 – $299
19	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
20	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
21	Anthem commercial\|vivity fee schedule · outpatient	$414	$414	—	—	—	$414 – $414
22	Anthem commercial\|all other plans fee schedule · outpatient	$593	$593	—	—	—	$593 – $593
23	Cigna commercial\|all other plans fee schedule · outpatient	$594	$594	—	—	—	$594 – $594
24	Cigna commercial\|ppo fee schedule · outpatient	$594	$594	—	—	—	$594 – $594
25	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$679	$679	—	—	—	$679 – $679

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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See Small bowel X-ray with serial films pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.