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
HC RETROGRADE PYELOGRAM W WO KUB
Darlington, WI
See all hospitals reporting CPT 74420 →Price type
Lafayette County’s median price of $511 is 26% above the median hospital's median price ($406), higher than 64% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 19 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 | Anthem badgercare professional · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 2 | UnitedHealthcare badgercare professional · fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 4 | Anthem commercial professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 6 | Humana commercial professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 7 | Humana medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 11 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 12 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 13 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $707 | $707 | — | — | — | $707 – $707 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $707 | $707 | — | — | — | $707 – $707 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $707 | $707 | — | — | — | $707 – $707 |
| 17 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $880 | $880 | — | — | — | $880 – $880 |
| 18 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Feb 4, 2026
See X-ray of the urinary tract with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.