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 Cystogram Min 3 Vws
San Angelo, TX
See all hospitals reporting CPT 74430 →Price type
Shannon River Crest Hospital’s median price of $729 is 94% above the median hospital's median price ($377), higher than 88% of the 2,430 hospitals reporting CPT 74430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Molina managed medicaid facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Humana medicare advantage facility · case rate · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 3 | Cigna ppo facility · case rate · outpatient | $654 | $654 | — | — | — | $654 – $654 |
| 4 | Ambetter ppo facility · case rate · outpatient | $721 | $721 | — | — | — | $721 – $721 |
| 5 | Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges | $729 | $729 | — | — | — | $729 – $729 |
| 6 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $729 | $729 | — | — | 1–10 | $729 – $729 |
| 7 | Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges | $829 | $829 | — | — | — | $829 – $829 |
| 8 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $829 | $829 | — | — | — | $829 – $829 |
| 9 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $829 | $829 | — | — | — | $829 – $829 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $829 | $829 | — | — | — | $829 – $829 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $829 | $829 | — | — | — | $829 – $829 |
| 12 | UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges | $862 | $862 | — | — | — | $862 – $862 |
| 13 | UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges | $862 | $862 | — | — | 1–10 | $862 – $862 |
| 14 | Humana ppo facility · percent of total billed charges · inpatientfrom % of charges | $884 | $884 | — | — | — | $884 – $884 |
| 15 | Humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $884 | $884 | — | — | — | $884 – $884 |
| 16 | Bcbs Tx hmo facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Bcbs Tx bav facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Bcbs Tx ppo facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Dec 8, 2025
See Cystogram X-ray with three or more views pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.