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
PR X-RAY RETROGRADE PYELOGRAM
Quitman, MS
See all hospitals reporting CPT 74420 →Price type
Rush Medical Foundation’s median price of $120 is 71% below the median hospital's median price ($406), higher than 10% of the 2,365 hospitals reporting CPT 74420. 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, 23 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 all payor fee schedule · outpatient | $61 | $61 | $6 | 10% | — | $55 – $67 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 3 | Optum all payor fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 4 | WellCare all payor fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 5 | MultiPlan all payor fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 6 | Ambetter all payor fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 7 | Aetna all payor fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 8 | Molina all payor fee schedule · outpatient | $68 | $122 | $94 | 77% | — | $67 – $285 |
| 9 | Cigna all payor fee schedule · outpatient | $187 | $187 | — | — | — | $187 – $187 |
| 10 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $225 | $225 | $130 | 58% | — | $96 – $355 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $80 | $234 | $237 | 101% | — | $67 – $589 |
| 12 | Cigna all payor other · outpatient | $268 | $268 | $155 | 58% | — | $114 – $423 |
| 13 | Cigna Healthspring all payor other · outpatient | $279 | $279 | $161 | 58% | — | $118 – $440 |
| 14 | Humana all payor other · outpatient | $279 | $279 | $161 | 58% | — | $118 – $440 |
| 15 | Optum all payor other · outpatient | $279 | $279 | $161 | 58% | — | $118 – $440 |
| 16 | UnitedHealthcare all payor other · outpatient | $279 | $279 | $161 | 58% | — | $118 – $440 |
| 17 | Ambetter all payor other · outpatient | $282 | $282 | $163 | 58% | — | $120 – $445 |
| 18 | Molina all payor other · outpatient | $282 | $282 | $163 | 58% | — | $120 – $445 |
| 19 | WellCare all payor other · outpatient | $282 | $282 | $163 | 58% | — | $120 – $445 |
| 20 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $313 | $313 | $180 | 58% | — | $133 – $493 |
| 21 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $361 | $361 | $208 | 58% | — | $153 – $569 |
| 22 | Bcbs Ms all payor other · outpatient | $385 | $385 | $222 | 58% | — | $163 – $607 |
| 23 | Bcbs Ms all payor fee schedule · outpatient | $228 | $484 | $489 | 101% | — | $175 – $1.3k |
Last updated: Apr 1, 2026
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