Fallopian tube catheterization with X-ray imaging at Northside Hospital, Inc.

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

XR CATH FALLOPIAN TUBES S I

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $783 is 383% above the median hospital's median price ($162), higher than 88% of the 1,175 hospitals reporting CPT 74742. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74742 at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 64 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 bcbs_pathway fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
2	Blue Cross Blue Shield bcbs_pathway-l fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
3	Blue Cross Blue Shield blue hpn fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
4	Blue Cross Blue Shield blue hpn-l fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
5	Caresource caresource other · outpatient	$157	$157	—	—	—	$157 – $157
6	Blue Cross Blue Shield bcbs_hmo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
7	Blue Cross Blue Shield bcbs_hmo-l fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
8	Blue Cross Blue Shield bcbs_ppo fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
9	Blue Cross Blue Shield bcbs_ppo-l fee schedule · outpatient	$163	$163	—	—	—	$163 – $163
10	Cigna cigna healthsprings medicare advantage other · outpatient	$209	$209	—	—	—	$209 – $209
11	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
12	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$448	$448	—	—	—	$448 – $448
13	Oscar oscar percent of total billed charges · outpatientfrom % of charges	$566	$566	—	—	—	$566 – $566
14	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$603	$603	—	—	—	$603 – $603
15	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$603	$603	—	—	—	$603 – $603
16	UnitedHealthcare uhc ga individual exchange other · outpatient	$635	$635	—	—	—	$635 – $635
17	UnitedHealthcare uhc hmo/pos/ppo other · outpatient	$748	$748	—	—	—	$748 – $748
18	UnitedHealthcare uhc hmo/pos/ppo-g other · outpatient	$748	$748	—	—	—	$748 – $748
19	UnitedHealthcare uhc hmo/pos/ppo-t other · outpatient	$748	$748	—	—	—	$748 – $748
20	Cigna cigna other · outpatient	$759	$759	—	—	—	$759 – $759
21	Cigna cigna-g other · outpatient	$759	$759	—	—	—	$759 – $759
22	Cigna cigna-h other · outpatient	$759	$759	—	—	—	$759 – $759
23	Cigna cigna-l other · outpatient	$759	$759	—	—	—	$759 – $759
24	Kaiser kaiser_hmo percent of total billed charges · outpatientfrom % of charges	$783	$783	—	—	—	$783 – $783
25	Kaiser kaiser_hmo-aga percent of total billed charges · outpatientfrom % of charges	$783	$783	—	—	—	$783 – $783

Page 1 of 3 · 64 rates

Last updated: Feb 14, 2026

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