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
XR Cystography Min 3 V DR
Peru, IN
See all hospitals reporting CPT 74430 →Price type
Dukes Health System LLC’s median price of $116 is 69% below the median hospital's median price ($377), higher than 13% of the 2,430 hospitals reporting CPT 74430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Caresource caresource in medicaid facility · other · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Anthem anthem in medicaid facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Caresource caresource hhw in medicaid facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Caresource caresource in hip facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Humana humana pathways in medicaid facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 8 | Tricare node tricare facility · fee schedule · outpatient | $102 | $102 | $76 | 75% | — | $26 – $178 |
| 9 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $109 | $109 | $81 | 75% | — | $28 – $190 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $109 | $109 | $81 | 75% | — | $28 – $190 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $109 | $109 | $81 | 75% | — | $28 – $190 |
| 12 | Anthem anthem in hip facility · fee schedule · outpatient | $110 | $110 | $82 | 75% | — | $28 – $193 |
| 13 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $110 | $110 | $82 | 75% | — | $28 – $193 |
| 14 | Optum node united optum va ccn facility · per diem · outpatient | $110 | $110 | $82 | 75% | — | $28 – $193 |
| 15 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $111 | $111 | $83 | 75% | — | $28 – $194 |
| 16 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $111 | $111 | $83 | 75% | — | $28 – $194 |
| 17 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $166 | $166 | $124 | 75% | — | $42 – $289 |
| 18 | Anthem anthem in work comp facility · other · outpatient | $177 | $177 | $132 | 75% | — | $45 – $308 |
| 19 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $199 | $199 | $148 | 75% | — | $50 – $347 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $148 | 75% | — | $50 – $347 |
| 21 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $199 | $199 | $148 | 75% | — | $50 – $347 |
| 22 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | $148 | 75% | — | $50 – $347 |
| 23 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $234 | $234 | $175 | 75% | — | $59 – $409 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $263 | $263 | $196 | 75% | — | $67 – $459 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $272 | $272 | $203 | 75% | — | $69 – $474 |
Last updated: Apr 1, 2026
See Cystogram X-ray with three or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.