Upper GI X-ray with contrast dye at St Helena Hospital

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

Double contrast X-ray of upper digestive tract

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $437 is 59% above the median hospital's median price ($276), higher than 71% of the 2,467 hospitals reporting CPT 74246. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74246 at St Helena Hospital

Negotiated rates from the hospital’s own file: 7 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 blue shield bh mcr adv fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
4	Kaiser kaiser mcr adv fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
5	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
6	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
7	Cigna cigna-all other plans fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
8	Kaiser kaiser-all other plans fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
9	Medicaid medi-cal fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
11	UnitedHealthcare uhc jll fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
12	UnitedHealthcare uhc options ppo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
13	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
14	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$233	$233	—	—	—	$233 – $233
15	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$233	$233	—	—	—	$233 – $233
16	Blue Cross Blue Shield tricare blue shield other · outpatient	$233	$233	—	—	—	$233 – $233
17	Kaiser kaiser mcr adv other · outpatient	$233	$233	—	—	—	$233 – $233
18	UnitedHealthcare uhc mcr adv other · outpatient	$233	$233	—	—	—	$233 – $233
19	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$455	$305	$212	70%	—	$5 – $455
20	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$547	$366	$255	70%	—	$5 – $547
21	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$410	$410	—	—	—	$410 – $410
22	Aetna aetna-all plans fee schedule · outpatient	$566	$423	$203	48%	—	$136 – $566
23	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.1k	$711	67%	—	$101 – $1.8k
24	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$207	17%	2–20	$1.0k – $1.5k
25	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$210	17%	2–20	$1.1k – $1.5k

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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