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
XR PLACE ENTERO TUBE
Georgetown, TX
See all hospitals reporting CPT 74355 →Price type
St. David's Georgetown Hospital’s median price of $740 is 251% above the median hospital's median price ($211), higher than 86% of the 1,242 hospitals reporting CPT 74355. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 7 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 10 | Blue Cross Blue Shield ppo fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 12 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 13 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $359 | $359 | — | — | — | $359 – $359 |
| 14 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $526 | $526 | — | — | — | $526 – $526 |
| 15 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 16 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $587 | $587 | — | — | — | $587 – $587 |
| 17 | Aetna narrownetwork fee schedule · outpatient | $596 | $596 | — | — | — | $596 – $596 |
| 18 | Healthcare Highways epo percent of total billed charges · outpatientfrom % of charges | $615 | $615 | — | — | — | $615 – $615 |
| 19 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $634 | $634 | — | — | — | $634 – $634 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
| 21 | Cigna newbusinessnetwork percent of total billed charges · outpatientfrom % of charges | $679 | $679 | — | — | — | $679 – $679 |
| 22 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $723 | $723 | — | — | — | $723 – $723 |
| 23 | Cigna openaccess percent of total billed charges · outpatientfrom % of charges | $723 | $723 | — | — | — | $723 – $723 |
| 24 | Cigna openaccessplus percent of total billed charges · outpatientfrom % of charges | $723 | $723 | — | — | — | $723 – $723 |
| 25 | Aetna comm fee schedule · outpatient | $825 | $825 | — | — | — | $825 – $825 |
Last updated: Sep 1, 2026
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