Scans and imaging CPT 74240 Outpatient

Upper GI series cost in Appleton, WI

In Appleton, WI, 3 hospitals list a cash price for upper GI series (X-ray of esophagus, stomach and duodenum with contrast): from $191.52 to $420.90, with a median of $420.90. The lowest listed price is at Ascension NE Wisconsin - St Elizabeth Campus — $229.38 less than the median here. Across Wisconsin, the median is $420.90 at 63 hospitals.

Cash prices at 3 facilities for code 74240, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$191.52Ascension NE Wisconsin - St Elizabeth Campus
Median$420.90half pay less
Highest$420.90in this market
Difference2.2×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $191.52Highest $463.01

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin - St Elizabeth Campus lowest Appleton, WI · (920) 738-2000 HC XRAY EXAM UPPER GI TRC SINGLE CONTRAST STUDY $191.52 $336.00 $40.67–$288.23 43% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC Upper GI W Kub $420.90 $751.60 $97.71–$797.01 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC Upper GI W Kub $420.90 $751.60 $97.71–$797.01 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI HC UPPER GI W KUB $463.01 $826.80 $97.71–$797.01 44% —
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ThedaCare Regional Medical Center-Appleton Appleton, WI · (920) 731-4101 HC UPPER GI W KUB $463.01 $826.80 $97.71–$797.01 44% —
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Outpatient: lowest $191.52, median $420.90, highest $420.90 — a 2.2× difference within the same market.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

An upper GI series is an X-ray of the esophagus, stomach and first part of the small intestine after drinking barium.

What the price covers

The price usually covers the study and the barium. The radiologist's reading may be billed separately.