Small bowel X-ray with serial films at Dignity Health

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

Mt Shasta, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $213 is 18% below the median hospital's median price ($262), higher than 37% of the 2,525 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 Health

Negotiated rates from the hospital’s own file: 8 payers, 25 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 medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
2	Anthem medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
3	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
4	Humana medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
5	Kaiser medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
6	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
7	Anthem medicaid\|all plans fee schedule · outpatient	$129	$129	—	—	—	$129 – $129
8	Anthem commercial\|exchange fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
9	Cigna commercial\|all other plans fee schedule · inpatient	$203	$203	—	—	—	$203 – $203
10	Cigna commercial\|all other plans fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
11	Cigna commercial\|ppo fee schedule · inpatient	$203	$203	—	—	—	$203 – $203
12	Cigna commercial\|ppo fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
13	Anthem commercial\|all other plans fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
14	UnitedHealthcare commercial\|hmo fee schedule · inpatient	$213	$213	—	—	—	$213 – $213
15	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
16	Aetna commercial\|all other plans fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
17	Aetna commercial\|hmo fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
18	Aetna commercial\|ppo fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
19	Aetna commercial\|all other plans fee schedule · inpatient	$218	$218	—	—	—	$218 – $218
20	Aetna commercial\|hmo fee schedule · inpatient	$218	$218	—	—	—	$218 – $218
21	Aetna commercial\|ppo fee schedule · inpatient	$218	$218	—	—	—	$218 – $218
22	UnitedHealthcare commercial\|all other plans fee schedule · inpatient	$218	$218	—	—	—	$218 – $218
23	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
24	MultiPlan commercial\|all plans fee schedule · inpatient	$243	$243	—	—	—	$243 – $243
25	MultiPlan commercial\|all plans fee schedule · outpatient	$243	$243	—	—	—	$243 – $243

Last updated: Feb 28, 2026

Compare to other hospitals

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.