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 RENAL CYST STY RT
Georgetown, TX
See all hospitals reporting CPT 74470 →Price type
St. David's Georgetown Hospital’s median price of $1.5k is 161% above the median hospital's median price ($570), higher than 95% of the 1,648 hospitals reporting CPT 74470. 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, 45 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 mgmcd fee schedule · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 2 | Blue Cross Blue Shield chip fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 3 | Blue Cross Blue Shield mcd fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Molina chip fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Molina mcdstar fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Molina star+plus fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Molina starkids fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Humana mgmcd fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 9 | Aetna Better Health mcd fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $233 | $233 | — | — | — | $233 – $233 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $233 | $233 | — | — | — | $233 – $233 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $233 | $233 | — | — | — | $233 – $233 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $233 | $233 | — | — | — | $233 – $233 |
| 14 | Cigna newbusinessnetwork fee schedule · outpatient | $644 | $644 | — | — | — | $644 – $644 |
| 15 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $693 | $693 | — | — | — | $693 – $693 |
| 16 | Cigna hmo fee schedule · outpatient | $695 | $695 | — | — | — | $695 – $695 |
| 17 | Cigna openaccess fee schedule · outpatient | $695 | $695 | — | — | — | $695 – $695 |
| 18 | Cigna openaccessplus fee schedule · outpatient | $695 | $695 | — | — | — | $695 – $695 |
| 19 | UnitedHealthcare narrownetworkhix fee schedule · outpatient | $739 | $739 | — | — | — | $739 – $739 |
| 20 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $793 | $793 | — | — | — | $793 – $793 |
| 21 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $793 | $793 | — | — | — | $793 – $793 |
| 22 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $793 | $793 | — | — | — | $793 – $793 |
| 23 | Cigna ppo fee schedule · outpatient | $823 | $823 | — | — | — | $823 – $823 |
| 24 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $872 | $872 | — | — | — | $872 – $872 |
| 25 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Sep 1, 2026
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