Single contrast x-ray of small intestine
Medicare pricing data for 11,848 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $118 | $122 | 6 | 12 | +189.6% |
| New Jersey | $53 | $158 | 263 | 733 | +30.2% |
| Maryland | $50 | $115 | 217 | 637 | +23.1% |
| Alaska | $49 | $155 | 29 | 63 | +21.7% |
| New York | $47 | $147 | 461 | 1,400 | +15.2% |
| Nevada | $45 | $182 | 141 | 449 | +9.7% |
| Arizona | $43 | $196 | 222 | 1,103 | +7.1% |
| California | $43 | $135 | 1,255 | 5,669 | +4.9% |
| Kentucky | $42 | $141 | 142 | 527 | +3.3% |
| Florida | $42 | $158 | 927 | 3,870 | +2.6% |
| North Carolina | $42 | $123 | 376 | 1,120 | +2.6% |
| Tennessee | $41 | $133 | 344 | 1,327 | +2.0% |
| Connecticut | $40 | $119 | 95 | 345 | -0.7% |
| Washington | $40 | $102 | 253 | 804 | -1.0% |
| Virginia | $40 | $104 | 290 | 1,033 | -1.2% |
| Missouri | $40 | $108 | 338 | 1,403 | -1.9% |
| District of Columbia | $40 | $206 | 21 | 86 | -1.9% |
| Alabama | $40 | $82 | 239 | 898 | -2.0% |
| Massachusetts | $40 | $105 | 207 | 640 | -2.1% |
| Iowa | $40 | $127 | 92 | 202 | -2.4% |
| Texas | $39 | $182 | 927 | 3,948 | -2.8% |
| Illinois | $39 | $149 | 476 | 1,554 | -3.0% |
| Pennsylvania | $39 | $103 | 536 | 1,852 | -3.2% |
| Kansas | $39 | $77 | 128 | 579 | -4.1% |
| Hawaii | $39 | $147 | 34 | 98 | -4.3% |
| Delaware | $39 | $119 | 19 | 66 | -4.3% |
| Colorado | $39 | $134 | 266 | 1,014 | -5.1% |
| New Hampshire | $38 | $127 | 47 | 125 | -5.3% |
| Rhode Island | $38 | $137 | 42 | 138 | -5.3% |
| Montana | $38 | $87 | 47 | 171 | -5.4% |
| Georgia | $38 | $137 | 371 | 1,233 | -5.6% |
| Michigan | $38 | $102 | 336 | 998 | -6.0% |
| Ohio | $38 | $136 | 484 | 1,687 | -6.2% |
| New Mexico | $38 | $117 | 68 | 191 | -6.3% |
| Minnesota | $38 | $115 | 205 | 530 | -6.5% |
| North Dakota | $38 | $114 | 43 | 131 | -6.5% |
| Wyoming | $38 | $114 | 21 | 74 | -6.6% |
| Oregon | $38 | $95 | 146 | 413 | -6.9% |
| Vermont | $38 | $157 | 17 | 46 | -6.9% |
| Wisconsin | $38 | $185 | 255 | 629 | -7.5% |
| Maine | $37 | $116 | 41 | 85 | -7.7% |
| Mississippi | $37 | $109 | 117 | 580 | -7.7% |
| South Dakota | $37 | $77 | 39 | 147 | -8.0% |
| Louisiana | $37 | $126 | 198 | 683 | -8.2% |
| Arkansas | $37 | $89 | 127 | 497 | -8.4% |
| Utah | $37 | $72 | 108 | 337 | -8.8% |
| South Carolina | $37 | $151 | 183 | 692 | -8.9% |
| Idaho | $37 | $118 | 60 | 215 | -9.1% |
| Indiana | $37 | $104 | 211 | 790 | -9.7% |
| Oklahoma | $37 | $125 | 146 | 874 | -9.8% |
| West Virginia | $36 | $116 | 80 | 314 | -10.3% |
| Nebraska | $36 | $100 | 87 | 354 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber