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
UGI W WO DLAYED FILMS W WO KUB
Pittsburgh, PA
See all hospitals reporting CPT 74240 →Price type
UPMC Mercy’s median price of $532 is 95% above the median hospital's median price ($273), higher than 82% of the 2,503 hospitals reporting CPT 74240. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 29 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 | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 4 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $182 | $182 | $4 | 2% | — | $178 – $187 |
| 6 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 7 | Highmark medicare facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 8 | Highmark managed care - social mission facility · fee schedule · outpatient | $238 | $238 | — | — | — | $238 – $238 |
| 9 | Highmark managed care facility · fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 10 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $437 | $437 | — | — | — | $437 – $437 |
| 11 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 12 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $477 | $477 | — | — | — | $477 – $477 |
| 13 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $479 | $479 | — | — | — | $479 – $479 |
| 14 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $485 | $485 | — | — | — | $485 – $485 |
| 15 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $521 | $521 | — | — | — | $521 – $521 |
| 16 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 17 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $532 | $532 | — | — | — | $532 – $532 |
| 18 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 19 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 20 | Highmark commercial - indemnity facility · fee schedule · outpatient | $602 | $602 | — | — | — | $602 – $602 |
| 21 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $626 | $626 | — | — | — | $626 – $626 |
| 22 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $626 | $626 | — | — | — | $626 – $626 |
| 23 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $642 | $642 | — | — | — | $642 – $642 |
| 24 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 25 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
Last updated: Mar 6, 2026
See Upper GI X-ray with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.