Upper GI X-ray with contrast dye at Winter Haven 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

DX UGI W/O KUB

Haven, FL

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Pricing by billing methodology

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How this price compares nationally

Winter Haven Hospital’s median price of $542 is 98% 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.

Payers reporting CPT 74240 at Winter Haven Hospital

Negotiated rates from the hospital’s own file: 10 payers, 45 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 medicaid hmo facility · case rate · outpatient	$77	$77	—	—	—	$77 – $77
2	Humana medicaid hmo facility · case rate · outpatient	$78	$78	—	—	—	$78 – $78
3	Molina medicaid hmo facility · case rate · outpatient	$79	$79	—	—	—	$79 – $79
4	Aetna medicaid hmo facility · case rate · outpatient	$80	$80	—	—	—	$80 – $80
5	Aetna commercial other facility · fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
6	Aetna medicare ppo facility · case rate · outpatient	$179	$179	—	—	—	$179 – $179
7	Blue Cross Blue Shield medicare hmo facility · case rate · outpatient	$179	$179	—	—	—	$179 – $179
8	Humana commercial other facility · case rate · outpatient	$186	$186	—	—	—	$186 – $186
9	UnitedHealthcare medicare hmo facility · case rate · outpatient	$191	$191	—	—	—	$191 – $191
10	Aetna medicare hmo facility · case rate · outpatient	$205	$205	—	—	—	$205 – $205
11	Cigna medicare hmo facility · case rate · outpatient	$205	$205	—	—	—	$205 – $205
12	Aetna commercial hmo facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
13	Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	—	—	—	$212 – $212
14	Humana medicare hmo facility · case rate · outpatient	$223	$223	—	—	—	$223 – $223
15	WellCare medicare hmo facility · case rate · outpatient	$250	$250	—	—	—	$250 – $250
16	Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
17	Ambetter commercial select core facility · case rate · outpatient	$402	$402	—	—	—	$402 – $402
18	Ambetter commercial value facility · case rate · outpatient	$456	$456	—	—	—	$456 – $456
19	Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges	$493	$493	—	—	—	$493 – $493
20	Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges	$509	$509	—	—	—	$509 – $509
21	Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges	$545	$545	—	—	—	$545 – $545
22	Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$570	$570	—	—	—	$570 – $570
23	Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges	$601	$601	—	—	—	$601 – $601
24	Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$621	$621	—	—	—	$621 – $621
25	UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$627	$627	—	—	—	$627 – $627

Page 1 of 2 · 45 rates

Last updated: Jan 1, 2026

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