Esophagus X-ray with double-contrast study 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 esophagus

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $496 is 102% above the median hospital's median price ($246), higher than 85% of the 2,042 hospitals reporting CPT 74221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74221 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	$35	$35	—	—	—	$35 – $35
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
4	Kaiser kaiser mcr adv fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
5	Kaiser kaiser-all other plans fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
6	Cigna cigna-all other plans fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
7	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
8	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
9	Medicaid medi-cal fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
11	UnitedHealthcare uhc jll fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
12	UnitedHealthcare uhc options ppo fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
13	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$139	$139	—	—	—	$139 – $139
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	$537	$360	$251	70%	—	$5 – $537
20	Aetna aetna-all plans fee schedule · outpatient	$509	$380	$182	48%	—	$122 – $509
21	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$645	$432	$301	70%	—	$5 – $645
22	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$483	$483	—	—	—	$483 – $483
23	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$712	$596	$384	64%	—	$79 – $997
24	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$689	$689	$115	17%	2–20	$574 – $803
25	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$699	$699	$116	17%	2–20	$583 – $815

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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