Intravenous urography imaging at Southeast Texas - Jasper Memorial

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

UROGRAPHY NFS DRIP&/BOLUS

Jasper, TX

See all hospitals reporting CPT 74410 →

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Pricing by billing methodology

Price type

How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $227 is about the same as the median hospital's median price ($227), higher than 50% of the 1,568 hospitals reporting CPT 74410. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74410 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 8 payers, 22 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 chip km fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
2	UnitedHealthcare star kid km fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
3	UnitedHealthcare star km fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
4	UnitedHealthcare star plus km fee schedule · outpatient	$105	$105	—	—	—	$105 – $105
5	Aetna mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
6	Bcbs Tx mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
7	Humana gold choice mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
8	Molina medicare adv mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
9	UnitedHealthcare mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
10	WellCare mm fee schedule · outpatient	$180	$180	—	—	—	$180 – $180
11	Devoted mm fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
12	Humana choicecare fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
13	Molina chip km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
14	Molina star km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
15	Molina star plus km fee schedule · outpatient	$239	$239	—	—	—	$239 – $239
16	Cigna new business fee schedule · outpatient	$288	$288	—	—	—	$288 – $288
17	Cigna ppo fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
18	Bcbs Tx blue advantage hmo fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
19	Bcbs Tx heb fee schedule · outpatient	$475	$475	—	—	—	$475 – $475
20	Bcbs Tx hmo fee schedule · outpatient	$475	$475	—	—	—	$475 – $475
21	Bcbs Tx ppo fee schedule · outpatient	$544	$544	—	—	—	$544 – $544
22	Bcbs Tx traditional fee schedule · outpatient	$561	$561	—	—	—	$561 – $561

Last updated: Jan 13, 2026

Compare to other hospitals

See Intravenous urography imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.