Upper GI X-ray with contrast dye at Holy Name

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

UPR GI W/SCOUT-W/DELAY IMG P

Teaneck, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Holy Name’s median price of $463 is 69% above the median hospital's median price ($275), higher than 75% of the 2,467 hospitals reporting CPT 74240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74240 at Holy Name

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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	—	—	—	$151 – $151
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
3	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$182	$182	—	—	—	$182 – $182
4	Aetna medicare prime facility · fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
5	Aetna golden medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
6	Clover clover facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
8	WellCare medicare facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
9	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$237	$237	—	—	—	$237 – $237
10	Aetna whole health facility · fee schedule · outpatient	$269	$269	—	—	—	$269 – $269
11	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$453	$453	—	—	—	$453 – $453
13	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$578	$578	—	—	—	$578 – $578
14	Cigna hmo/pos facility · fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
15	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$616	$616	—	—	—	$616 – $616
16	UnitedHealthcare uhc facility · other · outpatient	$643	$643	—	—	—	$643 – $643
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$806	$806	—	—	—	$806 – $806
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$853	$853	—	—	—	$853 – $853
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$879	$879	—	—	—	$879 – $879
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$879	$879	—	—	—	$879 – $879
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$879	$879	—	—	—	$879 – $879

Last updated: Nov 10, 2025

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