Hysterosalpingogram X-ray imaging at Page Hospital

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

HYSTEROSALPINGOGRAM S&I

Page, AZ

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Pricing by billing methodology

Price type

How this price compares nationally

Page Hospital’s median price of $167 is 46% below the median hospital's median price ($307), higher than 12% 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 Page Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare advantage facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	$168	91%	—	$17 – $352
3	Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges	$271	$271	$247	91%	—	$24 – $518
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	$262	91%	—	$26 – $551
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	$262	91%	—	$26 – $551
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	$262	91%	—	$26 – $551
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$288	$288	$262	91%	—	$26 – $551
8	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$317	$317	$289	91%	—	$29 – $606
9	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$322	$322	$293	91%	—	$29 – $615
10	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$343	$343	$312	91%	—	$31 – $656
11	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$361	$361	$328	91%	—	$32 – $689
12	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$392	$392	$357	91%	—	$35 – $749
13	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$395	$395	$359	91%	—	$36 – $754
14	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$429	$429	$391	91%	—	$39 – $820
15	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$429	$429	$391	91%	—	$39 – $820
16	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$429	$429	$391	91%	—	$39 – $820
17	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$476	$476	$433	91%	—	$43 – $909
18	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$485	$485	$441	91%	—	$44 – $926
19	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$485	$485	$441	91%	—	$44 – $926
20	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$494	$494	$449	91%	—	$44 – $943
21	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$501	$501	$456	91%	—	$45 – $957
22	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$501	$501	$456	91%	—	$45 – $957
23	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$551	$551	—	—	—	$551 – $551
24	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571

Last updated: Mar 2, 2026

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