Double contrast x-ray of upper digestive tract
Medicare pricing data for 10,717 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $103 | $296 | 399 | 1,413 | +66.5% |
| Nevada | $101 | $346 | 108 | 444 | +63.0% |
| Maryland | $100 | $250 | 231 | 1,208 | +61.2% |
| Puerto Rico | $96 | $117 | 13 | 42 | +55.8% |
| Arizona | $90 | $306 | 160 | 846 | +45.7% |
| New York | $82 | $262 | 497 | 2,309 | +33.1% |
| California | $79 | $266 | 905 | 3,643 | +27.9% |
| Delaware | $71 | $196 | 45 | 353 | +14.2% |
| Florida | $69 | $263 | 681 | 2,531 | +11.9% |
| Kansas | $69 | $253 | 112 | 336 | +11.6% |
| Hawaii | $69 | $181 | 37 | 116 | +11.4% |
| Alaska | $68 | $227 | 29 | 85 | +10.2% |
| New Mexico | $66 | $305 | 57 | 241 | +7.1% |
| Texas | $66 | $285 | 721 | 3,667 | +7.0% |
| Washington | $66 | $198 | 267 | 1,060 | +6.0% |
| Connecticut | $64 | $196 | 110 | 367 | +3.2% |
| Minnesota | $63 | $242 | 143 | 385 | +1.9% |
| Oregon | $63 | $173 | 177 | 614 | +1.8% |
| Iowa | $63 | $201 | 130 | 432 | +1.1% |
| Tennessee | $61 | $236 | 302 | 1,207 | -1.6% |
| Missouri | $58 | $182 | 188 | 629 | -6.5% |
| District of Columbia | $56 | $199 | 24 | 76 | -9.0% |
| Illinois | $56 | $243 | 507 | 1,902 | -9.9% |
| North Carolina | $56 | $202 | 457 | 1,524 | -9.9% |
| Oklahoma | $54 | $196 | 82 | 368 | -13.2% |
| Idaho | $52 | $265 | 70 | 206 | -16.3% |
| Virginia | $51 | $170 | 351 | 1,722 | -17.7% |
| Massachusetts | $51 | $161 | 304 | 1,737 | -17.9% |
| Arkansas | $50 | $160 | 131 | 700 | -19.4% |
| Nebraska | $50 | $160 | 87 | 458 | -19.9% |
| Colorado | $49 | $193 | 138 | 329 | -20.3% |
| Georgia | $49 | $206 | 369 | 1,337 | -20.5% |
| Mississippi | $48 | $160 | 90 | 316 | -23.1% |
| Pennsylvania | $47 | $153 | 561 | 2,759 | -24.1% |
| Alabama | $47 | $120 | 209 | 897 | -24.6% |
| Louisiana | $46 | $219 | 142 | 624 | -26.4% |
| Wisconsin | $45 | $332 | 201 | 442 | -26.9% |
| Kentucky | $45 | $141 | 139 | 629 | -27.3% |
| Ohio | $44 | $218 | 390 | 1,717 | -29.6% |
| Montana | $42 | $95 | 36 | 131 | -31.4% |
| South Carolina | $42 | $188 | 163 | 602 | -31.4% |
| New Hampshire | $42 | $156 | 82 | 387 | -31.8% |
| North Dakota | $42 | $153 | 33 | 101 | -32.0% |
| West Virginia | $42 | $138 | 71 | 410 | -32.3% |
| Wyoming | $42 | $222 | 14 | 26 | -32.5% |
| Michigan | $42 | $156 | 322 | 1,073 | -32.6% |
| Vermont | $42 | $225 | 20 | 101 | -32.7% |
| South Dakota | $42 | $110 | 20 | 33 | -32.7% |
| Maine | $42 | $127 | 66 | 141 | -32.8% |
| Rhode Island | $41 | $154 | 45 | 184 | -33.1% |
| Indiana | $41 | $158 | 210 | 874 | -33.5% |
| Utah | $37 | $102 | 45 | 157 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber