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
$0
Average
$1.3k
Median
$936
High
$9.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
435 hospitals; the 90th percentile is 4.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
554 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Brigham and Women's Hospital Boston, MA other · both | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 2 | Methodist Hospitals of Dallas Dallas, TX other · both | 2 | $963 | $963 | $28 | 3% | 1–10 | $935 – $991 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $633 | $819 | $303 | 37% | — | $528 – $1.2k |
| 4 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $936 | $936 | — | — | — | $936 – $936 |
| 6 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 2 | $953 | $953 | $67 | 7% | — | $886 – $1.0k |
| 7 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 4 | $1.8k | $1.7k | $406 | 24% | — | $996 – $2.1k |
| 8 | Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient | 2 | $953 | $953 | $67 | 7% | — | $886 – $1.0k |
| 9 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.6k | $83 | 5% | — | $1.5k – $1.7k |
| 10 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $79 | 5% | — | $1.5k – $1.7k |
| 11 | Advocate Christ Medical Center Oak Lawn, IL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.5k | $82 | 5% | — | $1.5k – $1.7k |
| 12 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $68 | 4% | — | $1.5k – $1.7k |
| 13 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.7k | $1.7k | $68 | 4% | — | $1.5k – $1.8k |
| 14 | Advocate Lutheran General Hospital Park Ridge, IL percent of total billed charges · outpatientfrom % of charges | 4 | $1.5k | $1.6k | $78 | 5% | — | $1.5k – $1.7k |
| 15 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 4 | $283 | $437 | $279 | 64% | — | $262 – $920 |
| 16 | Alexian Brothers Medical Center Village, IL other · inpatient | 3 | $1.3k | $1.2k | $150 | 12% | — | $991 – $1.3k |
| 17 | Alexian Brothers Medical Center Village, IL other · outpatient | 3 | $1.3k | $1.3k | $305 | 23% | — | $991 – $1.7k |
| 18 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | $1 | 2% | — | $69 – $71 |
| 19 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 21 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $1.4k | $1.4k | $941 | 65% | — | $500 – $2.4k |
| 22 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $1.7k | $1.3k | $644 | 51% | — | $356 – $1.7k |
| 23 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $1.7k | $1.3k | $644 | 51% | — | $356 – $1.7k |
| 24 | Ascension Cedar Park Park, TX fee schedule · outpatient | 5 | $764 | $707 | $246 | 35% | — | $230 – $932 |
| 25 | Ascension Providence Waco, TX fee schedule · outpatient | 3 | $511 | $487 | $74 | 15% | — | $387 – $564 |
← Payers reporting CPT 0649T · Snapshot 20261112T181611Z-3fa9fb76