Small bowel X-ray with serial films at Dukes Health System 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 Small Bowel Gastrografin w Film DR

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $234 is 10% below the median hospital's median price ($262), higher than 43% 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 Dukes Health System LLC

Negotiated rates from the hospital’s own file: 11 payers, 36 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	Tricare node tricare facility · fee schedule · outpatient	$171	$130	$58	45%	—	$48 – $171
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$181	$138	$62	45%	—	$51 – $181
3	Humana node humana mcr adv facility · fee schedule · outpatient	$181	$138	$62	45%	—	$51 – $181
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$181	$138	$62	45%	—	$51 – $181
5	Anthem anthem in hip facility · fee schedule · outpatient	$184	$140	$63	45%	—	$52 – $184
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$184	$140	$63	45%	—	$52 – $184
7	Optum node united optum va ccn facility · per diem · outpatient	$184	$140	$63	45%	—	$52 – $184
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$185	$141	$63	45%	—	$52 – $185
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$185	$141	$63	45%	—	$52 – $185
10	Caresource caresource in medicaid facility · other · outpatient	$180	$180	—	—	—	$180 – $180
11	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$276	$210	$94	45%	—	$77 – $276
12	Anthem anthem in work comp facility · other · outpatient	$295	$224	$100	45%	—	$83 – $295
13	Anthem anthem in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
14	Caresource caresource hhw in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
15	Caresource caresource in hip facility · other · outpatient	$234	$234	—	—	—	$234 – $234
16	Humana humana pathways in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
17	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
18	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$234	$234	—	—	—	$234 – $234
19	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$332	$252	$113	45%	—	$93 – $332
20	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$332	$252	$113	45%	—	$93 – $332
21	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$332	$252	$113	45%	—	$93 – $332
22	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$332	$252	$113	45%	—	$93 – $332
23	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$391	$297	$133	45%	—	$109 – $391
24	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$438	$333	$149	45%	—	$123 – $438
25	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$453	$344	$154	45%	—	$127 – $453

Page 1 of 2 · 36 rates

Last updated: Apr 1, 2026

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