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
HC Quan MR Alys Tiss Composition W/MRI 1orgn
Low
$67
Average
$1.2k
Median
$1.1k
High
$4.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 286 | $955 | $1.3k | $1.3k | 104% | — | $0 – $27.9k |
| 2 | Aetna fee schedule · outpatient · +23 other terms | 253 | $1.0k | $1.5k | $1.2k | 84% | — | $134 – $10.7k |
| 3 | Humana fee schedule · outpatient · +20 other terms | 214 | $948 | $1.0k | $531 | 51% | — | $0 – $3.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +22 other terms | 200 | $904 | $1.1k | $895 | 80% | — | $0 – $7.3k |
| 5 | Cigna fee schedule · outpatient · +22 other terms | 155 | $963 | $1.5k | $1.0k | 69% | — | $64 – $5.1k |
| 6 | WellCare fee schedule · outpatient · +10 other terms | 102 | $952 | $1.1k | $376 | 34% | — | $670 – $2.2k |
| 7 | Molina fee schedule · outpatient · +16 other terms | 93 | $1.1k | $1.2k | $429 | 35% | — | $358 – $2.2k |
| 8 | Anthem fee schedule · outpatient · +17 other terms | 72 | $930 | $898 | $347 | 39% | — | $324 – $3.0k |
| 9 | Ambetter facility · fee schedule · outpatient · +11 other terms | 70 | $1.9k | $1.8k | $398 | 22% | — | $883 – $2.4k |
| 10 | Devoted fee schedule · outpatient · +5 other terms | 58 | $955 | $950 | $55 | 6% | — | $865 – $1.1k |
| 11 | Kaiser fee schedule · outpatient · +12 other terms | 51 | $1.3k | $1.8k | $1.3k | 73% | — | $931 – $7.5k |
| 12 | Optum fee schedule · outpatient · +11 other terms | 39 | $931 | $1.6k | $921 | 58% | — | $844 – $3.8k |
| 13 | Bcbs Tx fee schedule · outpatient · +1 other terms | 32 | $890 | $905 | $250 | 28% | — | $371 – $1.7k |
| 14 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $1.4k | $1.4k | $419 | 29% | — | $888 – $2.1k |
| 15 | Medicare fee schedule · outpatient · +2 other terms | 25 | $931 | $937 | $27 | 3% | — | $906 – $1.0k |
| 16 | Clover fee schedule · outpatient · +5 other terms | 24 | $1.0k | $1.0k | $70 | 7% | — | $900 – $1.1k |
| 17 | Oscar facility · fee schedule · outpatient · +12 other terms | 24 | $1.4k | $1.4k | $219 | 15% | — | $1.1k – $1.7k |
| 18 | Caresource facility · case rate · outpatient · +9 other terms | 23 | $269 | $717 | $613 | 85% | — | $157 – $1.9k |
| 19 | MultiPlan fee schedule · outpatient · +14 other terms | 22 | $1.6k | $1.9k | $728 | 39% | — | $893 – $3.5k |
| 20 | Superior Healthplan facility · fee schedule · outpatient · +3 other terms | 21 | $981 | $964 | $23 | 2% | — | $935 – $983 |
| 21 | Regence facility · fee schedule · outpatient · +5 other terms | 20 | $979 | $1.4k | $907 | 65% | — | $880 – $3.8k |
| 22 | Healthcare Highways other · outpatient · +2 other terms | 17 | $1.2k | $1.2k | $22 | 2% | — | $1.1k – $1.2k |
| 23 | Highmark fee schedule · outpatient · +7 other terms | 16 | $1.2k | $1.3k | $458 | 36% | — | $427 – $2.7k |
| 24 | Medical Mutual facility · fee schedule · outpatient · +4 other terms | 15 | $892 | $1.2k | $608 | 52% | — | $479 – $3.5k |
| 25 | Tricare fee schedule · outpatient · +7 other terms | 15 | $904 | $1.7k | $1.2k | 71% | — | $844 – $3.5k |
← Hospitals reporting CPT 0649T · Snapshot 20261112T181611Z-3fa9fb76