Xr peritoneogram (CPT 74190)
74190 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
44 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Hot Springs County Memorial Hospital | Thermopolis, WY | $92 | $92 | $558.25 | 0.2× |
| Sheridan Memorial Hospital | Sheridan, WY | $222.80 | $278.50 | $558.25 | 0.4× |
| Banner Wyoming Medical Center | Casper, WY | $345.66 | $823 | $558.25 | 0.6× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $352.20 | $1,174 | $576.40 | 0.6× |
| Longs Peak Hospital | Longmont, CO | $410.90 | $1,174 | $582.80 | 0.7× |
| UCHealth Broomfield Hospital | Broomfield, CO | $410.90 | $1,174 | $576.40 | 0.7× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $410.90 | $1,174 | $576.40 | 0.7× |
| Denver Health Medical Center | Denver, CO | $433.91 | $1,239.72 | $576.40 | 0.8× |
| Parkland Memorial Hospital | Dallas, TX | $492.40 | $1,231 | $548.90 | 0.9× |
| St. Anthony Summit Medical Center | Frisco, CO | $511.56 | $1,278.89 | $576.40 | 0.9× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $551 | $1,102 | $548.90 | 1.0× |
| Baylor University Medical Center (Baylor Scott & White) | Dallas, TX | $563.20 | $938.67 | $548.90 | 1.0× |
| Mercy Hospital Durango | Durango, CO | $565.74 | $1,414.34 | $576.40 | 1.0× |
| Cheyenne Regional Medical Center | Cheyenne, WY | $582.45 | $832.06 | $558.25 | 1.0× |
| St. John's Medical Center | Jackson, WY | $605 | $605 | $558.25 | 1.1× |
| St. Mary-Corwin Hospital | Pueblo, CO | $932.02 | $2,330.04 | $576.40 | 1.6× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $961.20 | $2,136 | $576.40 | 1.7× |
| Foothills Hospital | Boulder, CO | $1,050.50 | $2,101 | $582.80 | 1.8× |
| UCHealth University of Colorado Hospital | Aurora, CO | $1,157.80 | $3,308 | $576.40 | 2.0× |
| Longmont United Hospital | Longmont, CO | $1,250.50 | $3,126.24 | $582.80 | 2.1× |
| St. Anthony Hospital | Lakewood, CO | $1,250.50 | $3,126.24 | $576.40 | 2.2× |
| Penrose Hospital | Colorado Springs, CO | $1,250.50 | $3,126.24 | $576.40 | 2.2× |
| St. Anthony North Health Campus | Westminster, CO | $1,250.50 | $3,126.24 | $576.40 | 2.2× |
| OrthoColorado Hospital | Lakewood, CO | $1,250.50 | $3,126.24 | $576.40 | 2.2× |
| St. Francis Hospital Interquest | Colorado Springs, CO | $1,250.50 | $3,126.24 | $576.40 | 2.2× |
| UCHealth Greeley Hospital | Greeley, CO | $1,428 | $2,380 | $576.40 | 2.5× |
| Poudre Valley Hospital | Fort Collins, CO | $1,666 | $2,380 | $576.40 | 2.9× |
| Medical Center of the Rockies | Loveland, CO | $1,666 | $2,380 | $576.40 | 2.9× |
| HCA HealthOne Presbyterian St. Luke's Medical Center | Denver, CO | $1,980 | $1,980 | $576.40 | 3.4× |
| Medical City Dallas | Dallas, TX | $2,470.98 | $2,470.98 | $548.90 | 4.5× |
| AdventHealth Porter | Denver, CO | $3,472.30 | $3,472.30 | $576.40 | 6.0× |
| AdventHealth Avista | Louisville, CO | $3,472.30 | $3,472.30 | $582.80 | 6.0× |
| AdventHealth Littleton | Littleton, CO | $3,472.30 | $3,472.30 | $576.40 | 6.0× |
| AdventHealth Parker | Parker, CO | $3,472.30 | $3,472.30 | $576.40 | 6.0× |
| AdventHealth Castle Rock | Castle Rock, CO | $3,472.30 | $3,472.30 | $576.40 | 6.0× |
| HCA HealthOne Mountain Ridge | Thornton, CO | $3,514.18 | $3,514.18 | $576.40 | 6.1× |
| HCA HealthOne Aurora Medical Center | Aurora, CO | $3,573.92 | $3,573.92 | $576.40 | 6.2× |
| HCA HealthOne Swedish Medical Center | Englewood, CO | $4,459.08 | $4,459.08 | $576.40 | 7.7× |
| HCA HealthOne Rose Medical Center | Denver, CO | $8,129 | $8,129 | $576.40 | 14.1× |
| HCA HealthOne Sky Ridge Medical Center | Lone Tree, CO | $9,961.60 | $9,961.60 | $576.40 | 17.3× |
| Intermountain Health Platte Valley Hospital | Brighton, CO | — | $607.40 | $576.40 | — |
| Intermountain Health Lutheran Hospital | Golden, CO | — | $1,461.55 | $576.40 | — |
| Intermountain Health St. Joseph Hospital | Denver, CO | — | $1,461.55 | $576.40 | — |
| Intermountain Health Good Samaritan Hospital | Lafayette, CO | — | $1,461.55 | $582.80 | — |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.