X-ray of the urinary tract with contrast dye at UPMC Lititz

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

HC UROGRAPHY RETROGRADE W/WO KUB

Lititz, PA

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How this price compares nationally

UPMC Lititz’s median price of $624 is 53% above the median hospital's median price ($407), higher than 75% of the 2,339 hospitals reporting CPT 74420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74420 at UPMC Lititz

Negotiated rates from the hospital’s own file: 7 payers, 20 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 pa medicaid facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
2	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
3	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$299	$299	—	—	—	$299 – $299
4	Highmark medicare facility · fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
5	Aetna medicare facility · fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
6	Cigna medicare facility · fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
7	UnitedHealthcare medicare facility · fee schedule · outpatient	$367	$367	—	—	—	$367 – $367
8	Highmark medicaid facility · fee schedule · outpatient	$552	$552	$504	91%	—	$48 – $1.1k
9	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
10	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$587	$587	—	—	—	$587 – $587
11	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$665	$665	—	—	—	$665 – $665
12	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$699	$699	—	—	—	$699 – $699
13	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$701	$701	—	—	—	$701 – $701
14	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$701	$701	—	—	—	$701 – $701
15	Highmark commercial - children's health insurance facility · fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
16	Highmark commercial facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	Cigna commercial facility · fee schedule · outpatient	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k

Last updated: Mar 6, 2026

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