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
HC Xr Urethrocystogram Voiding Supervision & Interpretation
Troy, NY
See all hospitals reporting CPT 74455 →Price type
Samaritan Hospital’s median price of $398 is 26% above the median hospital's median price ($316), higher than 65% of the 2,379 hospitals reporting CPT 74455. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 38 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Anthem empire medicaid facility · fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Excellus empire medicaid facility · fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 6 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $219 | $219 | — | — | — | $219 – $219 |
| 8 | Aetna aetna facility · other · both | $286 | $286 | — | — | — | $286 – $286 |
| 9 | Medical Mutual aetna facility · other · both | $286 | $286 | — | — | — | $286 – $286 |
| 10 | Anthem empire bcbs medicare advantage facility · other · both | $292 | $292 | — | — | — | $292 – $292 |
| 11 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $304 | $304 | — | — | — | $304 – $304 |
| 12 | Aetna aetna medicare advantage facility · other · both | $315 | $315 | — | — | — | $315 – $315 |
| 13 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $318 | $318 | — | — | — | $318 – $318 |
| 14 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $318 | $318 | — | — | — | $318 – $318 |
| 15 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $318 | $318 | — | — | — | $318 – $318 |
| 16 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $318 | $318 | — | — | — | $318 – $318 |
| 17 | WellCare wellcare medicare advantage facility · other · both | $326 | $326 | — | — | — | $326 – $326 |
| 18 | Excellus blue shield of ne new york medicare adv facility · other · both | $328 | $328 | — | — | — | $328 – $328 |
| 19 | Highmark blue shield of ne new york medicare adv facility · other · both | $328 | $328 | — | — | — | $328 – $328 |
| 20 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 21 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 22 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 23 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 24 | Premera blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
| 25 | Regence blue shield of ne new york ppo facility · fee schedule · both | $398 | $398 | — | — | — | $398 – $398 |
Last updated: Mar 31, 2026
See Voiding cystourethrogram X-ray pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.