74246

Double contrast x-ray of upper digestive tract

Medicare pricing data for 10,717 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $37 in Utah to $103 in New Jersey. 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

Double contrast x-ray of upper digestive tract (HCPCS code 74246) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $61.83, but hospitals typically charge $219.98 — a 3.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$12.37

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $61.83, your out-of-pocket cost would be approximately $12.37. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$61.83
Average Hospital Charge
$219.98
Markup Ratio
3.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$219.98
Medicare Allowed$61.83
Medicare Payment$46.35

Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $46.35 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New Jersey$103$2963991,413+66.5%
Nevada$101$346108444+63.0%
Maryland$100$2502311,208+61.2%
Puerto Rico$96$1171342+55.8%
Arizona$90$306160846+45.7%
New York$82$2624972,309+33.1%
California$79$2669053,643+27.9%
Delaware$71$19645353+14.2%
Florida$69$2636812,531+11.9%
Kansas$69$253112336+11.6%
Hawaii$69$18137116+11.4%
Alaska$68$2272985+10.2%
New Mexico$66$30557241+7.1%
Texas$66$2857213,667+7.0%
Washington$66$1982671,060+6.0%
Connecticut$64$196110367+3.2%
Minnesota$63$242143385+1.9%
Oregon$63$173177614+1.8%
Iowa$63$201130432+1.1%
Tennessee$61$2363021,207-1.6%
Missouri$58$182188629-6.5%
District of Columbia$56$1992476-9.0%
Illinois$56$2435071,902-9.9%
North Carolina$56$2024571,524-9.9%
Oklahoma$54$19682368-13.2%
Idaho$52$26570206-16.3%
Virginia$51$1703511,722-17.7%
Massachusetts$51$1613041,737-17.9%
Arkansas$50$160131700-19.4%
Nebraska$50$16087458-19.9%
Colorado$49$193138329-20.3%
Georgia$49$2063691,337-20.5%
Mississippi$48$16090316-23.1%
Pennsylvania$47$1535612,759-24.1%
Alabama$47$120209897-24.6%
Louisiana$46$219142624-26.4%
Wisconsin$45$332201442-26.9%
Kentucky$45$141139629-27.3%
Ohio$44$2183901,717-29.6%
Montana$42$9536131-31.4%
South Carolina$42$188163602-31.4%
New Hampshire$42$15682387-31.8%
North Dakota$42$15333101-32.0%
West Virginia$42$13871410-32.3%
Wyoming$42$2221426-32.5%
Michigan$42$1563221,073-32.6%
Vermont$42$22520101-32.7%
South Dakota$42$1102033-32.7%
Maine$42$12766141-32.8%
Rhode Island$41$15445184-33.1%
Indiana$41$158210874-33.5%
Utah$37$10245157-40.2%

⚠️ 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