74250

Single contrast x-ray of small intestine

Medicare pricing data for 11,848 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $36 in Nebraska to $118 in Puerto Rico. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Single contrast x-ray of small intestine (HCPCS code 74250) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $40.58, but hospitals typically charge $134.67 — a 3.3x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$8.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $40.58, your out-of-pocket cost would be approximately $8.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$40.58
Average Hospital Charge
$134.67
Markup Ratio
3.3x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$134.67
Medicare Allowed$40.58
Medicare Payment$31.29

Hospitals charge 3.3x more than what Medicare allows for this procedure. Medicare actually pays $31.29 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$118$122612+189.6%
New Jersey$53$158263733+30.2%
Maryland$50$115217637+23.1%
Alaska$49$1552963+21.7%
New York$47$1474611,400+15.2%
Nevada$45$182141449+9.7%
Arizona$43$1962221,103+7.1%
California$43$1351,2555,669+4.9%
Kentucky$42$141142527+3.3%
Florida$42$1589273,870+2.6%
North Carolina$42$1233761,120+2.6%
Tennessee$41$1333441,327+2.0%
Connecticut$40$11995345-0.7%
Washington$40$102253804-1.0%
Virginia$40$1042901,033-1.2%
Missouri$40$1083381,403-1.9%
District of Columbia$40$2062186-1.9%
Alabama$40$82239898-2.0%
Massachusetts$40$105207640-2.1%
Iowa$40$12792202-2.4%
Texas$39$1829273,948-2.8%
Illinois$39$1494761,554-3.0%
Pennsylvania$39$1035361,852-3.2%
Kansas$39$77128579-4.1%
Hawaii$39$1473498-4.3%
Delaware$39$1191966-4.3%
Colorado$39$1342661,014-5.1%
New Hampshire$38$12747125-5.3%
Rhode Island$38$13742138-5.3%
Montana$38$8747171-5.4%
Georgia$38$1373711,233-5.6%
Michigan$38$102336998-6.0%
Ohio$38$1364841,687-6.2%
New Mexico$38$11768191-6.3%
Minnesota$38$115205530-6.5%
North Dakota$38$11443131-6.5%
Wyoming$38$1142174-6.6%
Oregon$38$95146413-6.9%
Vermont$38$1571746-6.9%
Wisconsin$38$185255629-7.5%
Maine$37$1164185-7.7%
Mississippi$37$109117580-7.7%
South Dakota$37$7739147-8.0%
Louisiana$37$126198683-8.2%
Arkansas$37$89127497-8.4%
Utah$37$72108337-8.8%
South Carolina$37$151183692-8.9%
Idaho$37$11860215-9.1%
Indiana$37$104211790-9.7%
Oklahoma$37$125146874-9.8%
West Virginia$36$11680314-10.3%
Nebraska$36$10087354-11.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber