74240

Single contrast x-ray of upper digestive tract

Medicare pricing data for 11,717 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $36 in Idaho 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 upper digestive tract (HCPCS code 74240) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $55.32, but hospitals typically charge $193.98 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.06

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $55.32, your out-of-pocket cost would be approximately $11.06. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$55.32
Average Hospital Charge
$193.98
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$193.98
Medicare Allowed$55.32
Medicare Payment$43.06

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $43.06 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Puerto Rico$118$120811+113.3%
Texas$70$20282111,774+25.7%
Massachusetts$69$1682833,058+25.5%
Mississippi$65$1891121,117+17.3%
Louisiana$64$1512021,935+15.6%
Nebraska$64$16359375+15.3%
Alaska$63$38539204+13.5%
Connecticut$62$164151823+12.5%
Indiana$62$1642103,219+12.1%
Utah$60$15156316+8.5%
Arizona$60$231186819+7.9%
New Jersey$58$2154111,391+5.1%
New York$57$4206182,740+2.1%
Oklahoma$56$183130902+2.0%
Wyoming$56$2622156+1.9%
California$56$2071,0925,202+1.2%
Ohio$55$1814322,886-1.1%
Maryland$53$161230835-3.9%
Nevada$52$250104321-6.5%
Alabama$50$93219947-9.1%
Illinois$49$2085101,930-10.6%
Minnesota$49$198270671-12.3%
Florida$48$2458443,643-14.0%
Iowa$46$172111221-17.2%
North Carolina$46$1854781,371-17.5%
Missouri$45$1352771,164-18.2%
Washington$44$144240834-20.6%
Tennessee$44$1802991,040-20.8%
Georgia$42$1793611,190-24.5%
Colorado$41$170196572-25.0%
District of Columbia$41$13431214-25.7%
Virginia$41$1303091,190-26.7%
Arkansas$40$130120419-27.5%
Oregon$40$125139433-27.5%
Delaware$39$13332106-28.9%
Wisconsin$39$318271611-29.3%
Pennsylvania$39$1365172,071-29.8%
New Hampshire$39$17853131-30.1%
Montana$38$15347157-30.5%
Rhode Island$38$1553596-30.8%
Hawaii$38$1632342-31.3%
Kentucky$38$116170814-31.3%
New Mexico$38$17050186-31.8%
Michigan$38$1363551,206-31.9%
North Dakota$38$13438119-32.0%
Vermont$38$1842373-32.1%
South Carolina$38$153191783-32.2%
South Dakota$37$14437125-32.2%
West Virginia$37$14069277-33.3%
Maine$37$12748103-33.5%
Kansas$37$9387396-33.6%
Idaho$36$17759135-34.4%

⚠️ 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