Hysterosalpingogram X-ray imaging at Longview Medical Center LP

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

IR-HYSTERSALPINGOGRM

Longview, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Longview Medical Center LP’s median price of $247 is 19% below the median hospital's median price ($307), higher than 30% of the 2,360 hospitals reporting CPT 74740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74740 at Longview Medical Center LP

Negotiated rates from the hospital’s own file: 10 payers, 37 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	Medicaid node tx medicaid facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
2	UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
3	UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient	$67	$67	—	—	—	$67 – $67
4	Molina node molina chip medicaid tx facility · per diem · outpatient	$70	$70	—	—	—	$70 – $70
5	Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
6	Cigna cigna all facility · fee schedule · outpatient	$93	$93	—	—	—	$93 – $93
7	UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
8	Molina node molina star plus medicaid tx facility · per diem · outpatient	$147	$147	—	—	—	$147 – $147
9	UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient	$156	$156	—	—	—	$156 – $156
10	Humana node humana mcr adv facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
11	Humana node wellmed humana mcr adv facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
12	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
13	UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient	$236	$236	—	—	—	$236 – $236
14	Tricare node tricare facility · fee schedule · outpatient	$240	$240	—	—	—	$240 – $240
15	Aetna node aetna mcr adv facility · other · outpatient	$241	$241	—	—	—	$241 – $241
16	Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
17	Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient	$241	$241	—	—	—	$241 – $241
18	Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
19	Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient	$253	$253	—	—	—	$253 – $253
20	UnitedHealthcare uhc exchange facility · per diem · outpatient	$455	$455	—	—	—	$455 – $455
21	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$515	$515	—	—	—	$515 – $515
22	UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges	$592	$592	—	—	—	$592 – $592
23	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
24	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$677	$677	—	—	—	$677 – $677
25	Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient	$754	$754	—	—	—	$754 – $754

Page 1 of 2 · 37 rates

Last updated: Apr 1, 2026

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