Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BONE SRGRY CMPTR CT/MRI IMAG
The hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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20 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $14,242 | $14,242 – $14,242 |
| 2 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $244.80 | $244.80 – $244.80 |
| 3 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $14,930 | $14,930 – $14,930 |
| 4 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 2 | $14,242 | $14,242 – $14,242 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · percent of total billed charges · inpatientfrom % of charges | 1 | $480.80 | $480.80 – $480.80 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · percent of total billed charges · outpatientfrom % of charges | 1 | $440.00 | $440.00 – $440.00 |
| 7 | MVHS, Inc. Utica, NY other · outpatient | 1 | $14,465 | $14,465 – $14,465 |
| 8 | MVHS, Inc. Utica, NY percent of total billed charges · inpatientfrom % of charges | 1 | $30.00 | $30.00 – $30.00 |
| 9 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $217.50 | $217.50 – $217.50 |
| 10 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · other · both | 1 | $21.44 | $21.44 – $21.44 |
| 11 | Morristown Medical Center Morristown, NJ other · outpatient | 2 | $14,930 | $14,930 – $14,930 |
| 12 | Newton Medical Center Newton, NJ other · outpatient | 2 | $14,242 | $14,242 – $14,242 |
| 13 | Overlook Medical Center Summit, NJ other · outpatient | 2 | $14,930 | $14,930 – $14,930 |
| 14 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · percent of total billed charges · inpatientfrom % of charges | 1 | $495.55 | $495.55 – $495.55 |
| 15 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · percent of total billed charges · outpatientfrom % of charges | 1 | $495.55 | $495.55 – $495.55 |
| 16 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · inpatientfrom % of charges | 1 | $495.55 | $495.55 – $495.55 |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · percent of total billed charges · outpatientfrom % of charges | 1 | $495.55 | $495.55 – $495.55 |
| 18 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX professional · percent of total billed charges · bothfrom % of charges | 2 | $1,050 | $965.18 – $1,136 |
| 19 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · outpatient | 1 | $1,274 | $1,274 – $1,274 |
| 20 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 1 | $1,300 | $1,300 – $1,300 |
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