X-ray of the urinary tract with contrast dye at McLeod Health

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

HC X-RAY RETROGRADE PYELOGRAM - FL PYELOGRAM RETROGRADE

Manning, SC

See all hospitals reporting CPT 74420 →

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How this price compares nationally

McLeod Health’s median price of $342 is 16% below the median hospital's median price ($406), higher than 29% of the 2,365 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 at McLeod Health

Negotiated rates from the hospital’s own file: 12 payers, 20 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	Blue Cross Blue Shield state fee schedule · both	$228	$228	—	—	—	$228 – $228
2	Blue Cross Blue Shield medicaid fee schedule · both	$254	$254	—	—	—	$254 – $254
3	Medicaid medicaid fee schedule · both	$254	$254	—	—	—	$254 – $254
4	Molina medicaid fee schedule · both	$267	$267	—	—	—	$267 – $267
5	Blue Cross Blue Shield hix percent of total billed charges · bothfrom % of charges	$269	$269	—	—	—	$269 – $269
6	Tricare dha fee schedule · both	$317	$317	—	—	—	$317 – $317
7	Cigna commercial fee schedule · both	$332	$332	—	—	—	$332 – $332
8	Blue Cross Blue Shield medicare advantage fee schedule · both	$333	$333	—	—	—	$333 – $333
9	Medicare medicare fee schedule · both	$333	$333	—	—	—	$333 – $333
10	UnitedHealthcare medicare advantage fee schedule · both	$338	$338	—	—	—	$338 – $338
11	Aetna medicare advantage fee schedule · both	$342	$342	—	—	—	$342 – $342
12	Clover medicare advantage fee schedule · both	$347	$347	—	—	—	$347 – $347
13	Humana medicare advantage fee schedule · both	$347	$347	—	—	—	$347 – $347
14	Molina medicare advantage fee schedule · both	$355	$348	$10	3%	—	$333 – $355
15	WellCare medicare advantage fee schedule · both	$357	$357	—	—	—	$357 – $357
16	Ambetter medicare advantage fee schedule · both	$600	$600	—	—	—	$600 – $600
17	Blue Cross Blue Shield preferred fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
18	UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Blue Cross Blue Shield choice fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Aetna commercial percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Jul 20, 2026

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