Hysterosalpingogram X-ray imaging 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

HYSTEROSALPINGOGRAPHY, RS&I

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $316 is 3% above the median hospital's median price ($307), higher than 52% of the 2,331 hospitals reporting CPT 74740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74740 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	$113	$113	$33	29%	—	$80 – $146
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$118	$118	$35	29%	—	$84 – $153
3	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$136	$136	$40	29%	—	$96 – $175
4	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$177	$177	$52	29%	—	$125 – $228
5	Aetna whole health facility · fee schedule · outpatient	$205	$205	—	—	—	$205 – $205
6	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	$70	29%	—	$169 – $308
7	Aetna medicare prime facility · fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
8	Aetna golden medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
9	Clover clover facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
10	UnitedHealthcare medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
11	WellCare medicare facility · fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
12	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$338	$338	$99	29%	—	$239 – $436
13	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$431	$431	$126	29%	—	$305 – $557
14	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$459	$459	$134	29%	—	$325 – $593
15	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$601	$601	$176	29%	—	$425 – $776
16	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$636	$636	$186	29%	—	$450 – $822
17	UnitedHealthcare uhc facility · other · outpatient	$643	$643	—	—	—	$643 – $643
18	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$655	$655	$191	29%	—	$464 – $847
19	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$655	$655	$191	29%	—	$464 – $847
20	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$655	$655	$191	29%	—	$464 – $847
21	Cigna hmo/pos facility · fee schedule · outpatient	$656	$656	$156	24%	—	$500 – $812

Last updated: Nov 10, 2025

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