Cystogram X-ray with three or more views at St. Joseph Health System, LLC

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

IR Cystography Min 3 V DR - BCE

Wayne, IN

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Pricing by billing methodology

Price type

How this price compares nationally

St. Joseph Health System, LLC’s median price of $491 is 30% above the median hospital's median price ($377), higher than 70% of the 2,430 hospitals reporting CPT 74430. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74430 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 13 payers, 43 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	Anthem anthem in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
2	Caresource caresource hhw in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
3	Caresource caresource in hip facility · other · outpatient	$70	$70	—	—	—	$70 – $70
4	Humana humana pathways in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
5	Medicaid in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
6	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
7	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$70	$70	—	—	—	$70 – $70
8	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$327	$327	—	—	—	$327 – $327
9	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$461	$332	$203	61%	—	$45 – $491
10	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$461	$332	$203	61%	—	$45 – $491
11	Tricare node tricare facility · fee schedule · outpatient	$351	$351	—	—	—	$351 – $351
12	Aetna node aetna mcr adv facility · fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
13	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
14	Humana node humana mcr adv facility · fee schedule · outpatient	$363	$363	—	—	—	$363 – $363
15	Anthem anthem in hip facility · fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
16	Optum node united optum va ccn facility · per diem · outpatient	$369	$369	—	—	—	$369 – $369
17	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$370	$370	—	—	—	$370 – $370
18	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$517	$373	$228	61%	—	$51 – $551
19	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$518	$373	$229	61%	—	$51 – $552
20	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$518	$373	$229	61%	—	$51 – $552
21	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$656	$473	$290	61%	—	$64 – $699
22	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$656	$473	$290	61%	—	$64 – $699
23	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$554	$554	—	—	—	$554 – $554
24	Anthem anthem in work comp facility · other · outpatient	$591	$591	—	—	—	$591 – $591
25	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$689	$689	$22	3%	—	$667 – $711

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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