What do doctors typically charge for Contrast Injection for X-ray Imaging Through Existing Tube in Stomach?

The nationwide median physician charge for Contrast Injection for X-ray Imaging Through Existing Tube in Stomach (CPT 49465) is $156.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for CPT 49465?

The standard insurance baseline reimbursement rate is $30.52. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Contrast Injection for X-ray Imaging Through Existing Tube in Stomach

CPT 49465Medical Service

Contrast Injection for X-ray Imaging Through Existing Tube in Stomach

Contrast injection for x-ray imaging through existing tube in stomach, small bowel or large bowel. Clinical pricing breakdown and utilization metrics across 60 practicing doctors nationwide.

$156.00

Peer Median Charge

Gross billed rate

$30.52

Standard Baseline

Customary allowable

5.1x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $156.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $30.52 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code 49465 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"