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
XR SWLW FUNC W/C&V
Plano, TX
See all hospitals reporting CPT 74230 →Price type
Medical City Plano’s median price of $394 is 53% above the median hospital's median price ($257), higher than 70% of the 2,543 hospitals reporting CPT 74230. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 51 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $105 | $105 | — | — | — | $105 – $105 |
| 6 | UnitedHealthcare chip fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 7 | UnitedHealthcare star fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 8 | UnitedHealthcare starkids fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 9 | UnitedHealthcare starperinate fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 10 | UnitedHealthcare starplus fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 11 | Cigna Healthspring mgmcd fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 12 | Aetna Better Health chip fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 13 | Aetna Better Health mcd fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Molina chip fee schedule · outpatient | $139 | $139 | $1 | 1% | — | $137 – $140 |
| 15 | Molina mcdstar fee schedule · outpatient | $139 | $139 | $1 | 1% | — | $137 – $140 |
| 16 | Molina star+plus fee schedule · outpatient | $139 | $139 | $1 | 1% | — | $137 – $140 |
| 17 | Molina starkids fee schedule · outpatient | $139 | $139 | $1 | 1% | — | $137 – $140 |
| 18 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 19 | UnitedHealthcare smallgroup fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 20 | Humana mgmcd fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 21 | Aetna qhphix fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 22 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 23 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 24 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 25 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
Last updated: Mar 1, 2026
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