Procedure price report · Lower gastrointestinal X-ray

Enema X-ray to treat a twisted or blocked bowel

CPT code CPT 74283the billing code this page is about

Fluoroscopy-guided enema used as treatment rather than diagnosis, for example to push a telescoped or obstructed segment of bowel back into place.

Hospitals typically charge $547 cash for this outpatient procedure — the median across 1,342 hospitals that filed a usable cash price; the average of the middle 60% is $583. Most fall between $254 and $1,089 (20th–80th percentile).

Hospitals
1,342
States
50
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,342 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$198$296$547$982$1,696

The most expensive tenth of hospitals charges at least 8.6× what the cheapest tenth charges ($198 vs $1,696).

How the prices are spread

$164 – $217: 123 hospitals$164$217 – $288: 133 hospitals$288 – $382: 164 hospitals$288$382 – $507: 137 hospitals$507 – $672: 157 hospitals$507$672 – $892: 168 hospitals$892 – $1,183: 162 hospitals$892$1,183 – $1,568: 78 hospitals$1,568 – $2,080: 46 hospitals$1,568$2,080 – $2,759: 42 hospitals$2,080median $547price bands are equal on a log scale
Hospitals per price band (1,210 of 1,342 — the bands cover the 5th to 95th percentile)
FromToHospitals
$164$217123
$217$288133
$288$382164
$382$507137
$507$672157
$672$892168
$892$1,183162
$1,183$1,56878
$1,568$2,08046
$2,080$2,75942

Against Medicare

Medicare pays (OPPS 2026, national rate)$179
Median cash price$547
Cash as a multiple of Medicare3.1×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $547.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $473 across 35 hospitalsWA$473Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $313 across 27 hospitalsMN$313Illinois: median $519 across 46 hospitalsIL$519Wisconsin: median $580 across 56 hospitalsWI$580Michigan: median $431 across 35 hospitalsMI$431New York: median $315 across 58 hospitalsNY$315Massachusetts: median $805 across 18 hospitalsMA$805Oregon: median $473 across 26 hospitalsOR$473Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $362 across 15 hospitalsIA$362Indiana: median $378 across 40 hospitalsIN$378Ohio: median $337 across 46 hospitalsOH$337Pennsylvania: median $389 across 65 hospitalsPA$389New Jersey: median $280 across 31 hospitalsNJ$280Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 6 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,048 across 118 hospitalsCA$1,048Utah: median $691 across 26 hospitalsUT$691Colorado: median $568 across 36 hospitalsCO$568Nebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $475 across 11 hospitalsMO$475Kentucky: median $564 across 25 hospitalsKY$564West Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $363 across 23 hospitalsVA$363Maryland: median $960 across 16 hospitalsMD$960Delaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $462 across 34 hospitalsAZ$462New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: median $221 across 16 hospitalsAR$221Tennessee: median $151 across 19 hospitalsTN$151North Carolina: median $576 across 49 hospitalsNC$576South Carolina: median $781 across 30 hospitalsSC$781Oklahoma: median $254 across 25 hospitalsOK$254Louisiana: median $207 across 20 hospitalsLA$207Mississippi: median $350 across 18 hospitalsMS$350Alabama: median $495 across 17 hospitalsAL$495Georgia: median $738 across 44 hospitalsGA$738Hawaii: 7 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $636 across 113 hospitalsTX$636Florida: median $1,099 across 91 hospitalsFL$1,099
Cash price by state, most expensive first. National median $547. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL91$1,099+101%$415 – $1,702
California CA118$1,048+92%$334 – $2,314
Maryland MD16$960+76%$751 – $1,228
Massachusetts MA18$805+47%$519 – $2,802
South Carolina SC30$781+43%$554 – $1,212
Georgia GA44$738+35%$251 – $1,319
Utah UT26$691+26%$691 – $691
Texas TX113$636+16%$232 – $1,696
Wisconsin WI56$580+6%$365 – $1,076
North Carolina NC49$576+5%$252 – $693
Colorado CO36$568+4%$316 – $874
Kentucky KY25$564+3%$302 – $1,425
Illinois IL46$519−5%$229 – $822
Alabama AL17$495−9%$390 – $1,574
Missouri MO11$475−13%$475 – $758
Oregon OR26$473−13%$233 – $995
Washington WA35$473−14%$250 – $904
Arizona AZ34$462−16%$315 – $2,759
Michigan MI35$431−21%$343 – $620
Pennsylvania PA65$389−29%$179 – $1,342
Indiana IN40$378−31%$258 – $515
Virginia VA23$363−34%$286 – $733
Iowa IA15$362−34%$242 – $686
Mississippi MS18$350−36%$313 – $425
Ohio OH46$337−38%$209 – $756
New York NY58$315−42%$211 – $663
Minnesota MN27$313−43%$275 – $721
New Jersey NJ31$280−49%$197 – $465
Oklahoma OK25$254−53%$164 – $363
Arkansas AR16$221−60%$173 – $450
Louisiana LA20$207−62%$138 – $680
Tennessee TN19$151−72%$72 – $372
Idaho ID9not enough hospitals filed a usable price
Kansas KS9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Hawaii HI7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Rhode Island RI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
South Dakota SD3not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $547.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,128$539$244 – $1,076
Children’s51$886$463 – $1,885
Critical access161$525$313 – $926
Ownership
For-profit173$752$250 – $2,700
Government157$516$220 – $853
Non-profit1,010$526$259 – $1,064
System affiliation
Part of a system1,175$555$258 – $1,099
Independent167$475$227 – $892

Cash price vs list price

Median list price (chargemaster)$936
Median cash price$547
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,006 hospitals filed a usable inpatient cash price for this code. The median is $620 and the average of the middle 60% is $627; most fall between $296 and $1,075.

Cash price percentiles, inpatient, across 1,006 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$209$324$620$995$1,628

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($209 vs $1,628).

Of the 1,088 hospitals that filed this code inpatient, 1,006 gave a usable cash price; 57 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

1,342 of the 3,956 hospitals with a price file in our corpus (34%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,467 hospitals that filed this code at all gave us
Usable cash price — counted1,342
Cash price carrying a plausibility flag — shown on the compare tool, excluded here92
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded33
Hospitals that filed this code1,467

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Hospitals file this code under descriptions such as Therapeutic Enema Rdctj Intussusception/Obstrcj|PROFESSIONAL COMPONENT.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Enema X-ray to treat a twisted or blocked bowel (CPT 74283) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-74283-enema-x-ray-to-treat-a-twisted-or-blocked-bowel