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
$907
Average
$967
Median
$985
High
$991
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4 hospital rates
iThe hospitals that file a Bcbs Il 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 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 2 | $980 | $980 | — | — | — | $980 – $980 |
| 2 | Deaconess Hospital, Inc Newburgh, IN facility · fee schedule · outpatient | 2 | $907 | $907 | — | — | — | $907 – $907 |
| 3 | Deaconess Illinois Crossroads Inc Mount Vernon, IL facility · case rate · outpatient | 1 | $991 | $991 | — | — | — | $991 – $991 |
| 4 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $991 | $991 | — | — | — | $991 – $991 |
← Payers reporting CPT 0649T · Snapshot 20261112T181611Z-3fa9fb76