Voiding cystourethrogram X-ray 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

URETHROCYSTO, VOID, RS&I

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $395 is 25% above the median hospital's median price ($316), higher than 65% of the 2,355 hospitals reporting CPT 74455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74455 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	$141	$141	$41	29%	—	$100 – $182
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	$43	29%	—	$105 – $191
3	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$170	$170	$50	29%	—	$120 – $219
4	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	$65	29%	—	$156 – $285
5	Aetna whole health facility · fee schedule · outpatient	$233	$233	—	—	—	$233 – $233
6	Aetna medicare prime facility · fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
7	Aetna golden medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
8	Clover clover facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
9	UnitedHealthcare medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
10	WellCare medicare facility · fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
11	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	$87	29%	—	$211 – $385
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$422	$422	$123	29%	—	$299 – $545
13	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$539	$539	$157	29%	—	$381 – $696
14	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$574	$574	$168	29%	—	$406 – $742
15	UnitedHealthcare uhc facility · other · outpatient	$643	$643	—	—	—	$643 – $643
16	Cigna hmo/pos facility · fee schedule · outpatient	$719	$719	$94	13%	—	$625 – $812
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	$219	29%	—	$531 – $970
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$795	$795	$232	29%	—	$563 – $1.0k
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$819	$819	$239	29%	—	$580 – $1.1k
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$819	$819	$239	29%	—	$580 – $1.1k
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$819	$819	$239	29%	—	$580 – $1.1k

Last updated: Nov 10, 2025

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