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Procedure price report · Intravenous pyelogram

X-ray study of kidneys and bladder with IV dye

CPT 74400the billing code this page is about

X-ray imaging of the kidneys, ureters and bladder after contrast dye is injected into a vein, with or without a plain abdominal view or tomographic images.

Hospitals typically charge $670 cash for this outpatient procedure — the median across 2,263 hospitals that filed a usable cash price; the average of the middle 60% is $679. Most fall between $333 and $1,165 (20th–80th percentile).

Hospitals
2,263
States
50
Filings dated
Aug 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 2,263 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
$211$375$670$1,025$1,791

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($211 vs $1,791).

How the prices are spread

$165 – $217: 130 hospitals$165$217 – $287: 129 hospitals$287 – $379: 205 hospitals$287$379 – $500: 240 hospitals$500 – $661: 298 hospitals$500$661 – $872: 409 hospitals$872 – $1,152: 267 hospitals$872$1,152 – $1,521: 200 hospitals$1,521 – $2,008: 92 hospitals$1,521$2,008 – $2,651: 67 hospitals$2,008median $670price bands are equal on a log scale
Hospitals per price band (2,037 of 2,263 — the bands cover the 5th to 95th percentile)
FromToHospitals
$165$217130
$217$287129
$287$379205
$379$500240
$500$661298
$661$872409
$872$1,152267
$1,152$1,521200
$1,521$2,00892
$2,008$2,65167

Against Medicare

Medicare pays (OPPS 2026, national rate)$179
Median cash price$670
Cash as a multiple of Medicare3.7×

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 $670.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $589 across 18 hospitalsME$589Vermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $672 across 10 hospitalsNH$672Washington: median $645 across 46 hospitalsWA$645Idaho: median $589 across 17 hospitalsID$589Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: median $467 across 16 hospitalsND$467Minnesota: median $258 across 37 hospitalsMN$258Illinois: median $907 across 83 hospitalsIL$907Wisconsin: median $670 across 49 hospitalsWI$670Michigan: median $380 across 57 hospitalsMI$380New York: median $401 across 73 hospitalsNY$401Massachusetts: median $803 across 23 hospitalsMA$803Oregon: median $716 across 21 hospitalsOR$716Nevada: median $906 across 14 hospitalsNV$906Wyoming: median $830 across 10 hospitalsWY$830South Dakota: median $878 across 15 hospitalsSD$878Iowa: median $547 across 50 hospitalsIA$547Indiana: median $508 across 68 hospitalsIN$508Ohio: median $788 across 111 hospitalsOH$788Pennsylvania: median $514 across 88 hospitalsPA$514New Jersey: median $227 across 47 hospitalsNJ$227Connecticut: median $503 across 11 hospitalsCT$503Rhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,024 across 163 hospitalsCA$1,024Utah: median $795 across 34 hospitalsUT$795Colorado: median $604 across 54 hospitalsCO$604Nebraska: median $694 across 44 hospitalsNE$694Missouri: median $683 across 55 hospitalsMO$683Kentucky: median $576 across 46 hospitalsKY$576West Virginia: median $617 across 22 hospitalsWV$617Virginia: median $515 across 41 hospitalsVA$515Maryland: median $92 across 13 hospitalsMD$92Delaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $501 across 38 hospitalsAZ$501New Mexico: median $979 across 10 hospitalsNM$979Kansas: median $641 across 56 hospitalsKS$641Arkansas: median $284 across 21 hospitalsAR$284Tennessee: median $303 across 66 hospitalsTN$303North Carolina: median $692 across 65 hospitalsNC$692South Carolina: median $959 across 51 hospitalsSC$959Oklahoma: median $492 across 48 hospitalsOK$492Louisiana: median $345 across 49 hospitalsLA$345Mississippi: median $362 across 39 hospitalsMS$362Alabama: median $482 across 31 hospitalsAL$482Georgia: median $640 across 82 hospitalsGA$640Hawaii: median $642 across 13 hospitalsHI$642Texas: median $696 across 216 hospitalsTX$696Florida: median $1,425 across 117 hospitalsFL$1,425
Cash price by state, most expensive first. National median $670. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL117$1,425+113%$834 – $4,881
California CA163$1,024+53%$539 – $1,791
New Mexico NM10$979+46%$505 – $1,074
South Carolina SC51$959+43%$510 – $1,056
Illinois IL83$907+35%$505 – $1,214
Nevada NV14$906+35%$190 – $2,510
South Dakota SD15$878+31%$714 – $1,091
Wyoming WY10$830+24%$333 – $1,086
Massachusetts MA23$803+20%$565 – $1,172
Utah UT34$795+19%$795 – $819
Ohio OH111$788+18%$591 – $1,042
Oregon OR21$716+7%$680 – $881
Texas TX216$696+4%$382 – $2,097
Nebraska NE44$694+4%$426 – $1,107
North Carolina NC65$692+3%$371 – $875
Missouri MO55$683+2%$415 – $1,111
New Hampshire NH10$6720%$473 – $1,647
Wisconsin WI49$6700%$440 – $1,168
Washington WA46$645−4%$530 – $904
Hawaii HI13$642−4%$531 – $929
Kansas KS56$641−4%$469 – $1,034
Georgia GA82$640−4%$265 – $1,284
West Virginia WV22$617−8%$429 – $991
Colorado CO54$604−10%$217 – $992
Idaho ID17$589−12%$585 – $1,168
Maine ME18$589−12%$188 – $1,397
Kentucky KY46$576−14%$333 – $1,126
Iowa IA50$547−18%$367 – $826
Virginia VA41$515−23%$429 – $1,199
Pennsylvania PA88$514−23%$209 – $1,283
Indiana IN68$508−24%$378 – $707
Connecticut CT11$503−25%$367 – $678
Arizona AZ38$501−25%$356 – $1,513
Oklahoma OK48$492−27%$344 – $827
Alabama AL31$482−28%$228 – $1,018
North Dakota ND16$467−30%$400 – $607
New York NY73$401−40%$211 – $886
Michigan MI57$380−43%$311 – $872
Mississippi MS39$362−46%$240 – $433
Louisiana LA49$345−48%$199 – $581
Tennessee TN66$303−55%$154 – $539
Arkansas AR21$284−58%$207 – $757
Minnesota MN37$258−62%$73 – $803
New Jersey NJ47$227−66%$182 – $662
Maryland MD13$92−86%$74 – $148
Alaska AK8not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Rhode Island RI3not 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 $670.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,726$683$324 – $1,234
Children’s49$941$397 – $1,207
Critical access481$615$346 – $933
Ownership
For-profit341$886$369 – $2,721
Government391$599$307 – $907
Non-profit1,524$652$335 – $1,093
System affiliation
Part of a system1,879$686$340 – $1,202
Independent384$614$291 – $953

Cash price vs list price

Median list price (chargemaster)$1,120
Median cash price$670
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

1,588 hospitals filed a usable inpatient cash price for this code. The median is $692 and the average of the middle 60% is $714; most fall between $350 and $1,199.

Cash price percentiles, inpatient, across 1,588 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
$223$410$692$1,057$1,574

The most expensive tenth of hospitals charges at least 7.1× what the cheapest tenth charges ($223 vs $1,574).

Of the 1,773 hospitals that filed this code inpatient, 1,588 gave a usable cash price; 105 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 80 a list price only.

How complete is this

2,263 of the 3,956 hospitals with a price file in our corpus (57%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,534 hospitals that filed this code at all gave us
Usable cash price — counted2,263
Cash price carrying a plausibility flag — shown on the compare tool, excluded here180
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 — excluded91
Hospitals that filed this code2,534

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.

Related procedures

Part of the Intravenous pyelogram family.

Hospitals file this code under descriptions such as Urography IV W/WO Kub W/WO Tomography.

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, “X-ray study of kidneys and bladder with IV dye (CPT 74400) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-74400-x-ray-study-of-kidneys-and-bladder-with-iv-dye