CPT 0865T
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
Quan mri alys brn w/o dx mri
Low
$127
Average
$392
Median
$249
High
$2.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
31 payers; the 90th percentile is 3.8× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 52 | $218 | $235 | $88 | 37% | — | $127 – $500 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +1 other terms | 48 | $235 | $251 | $102 | 41% | — | $153 – $685 |
| 3 | Aetna case rate · outpatient · +1 other terms | 42 | $244 | $410 | $390 | 95% | — | $227 – $1.6k |
| 4 | Humana facility · case rate · outpatient · +1 other terms | 35 | $218 | $210 | $44 | 21% | — | $153 – $307 |
| 5 | Anthem facility · case rate · outpatient · +1 other terms | 27 | $246 | $478 | $295 | 62% | — | $157 – $1.1k |
| 6 | Caresource facility · case rate · outpatient · +1 other terms | 23 | $269 | $294 | $90 | 31% | — | $157 – $488 |
| 7 | Blue Cross Blue Shield facility · case rate · outpatient · +2 other terms | 15 | $827 | $857 | $302 | 35% | — | $215 – $1.6k |
| 8 | Optum facility · case rate · outpatient | 14 | $214 | $228 | $56 | 25% | — | $145 – $355 |
| 9 | WellCare case rate · outpatient · +1 other terms | 14 | $256 | $254 | $9 | 3% | — | $227 – $264 |
| 10 | Ambetter case rate · outpatient · +1 other terms | 12 | $365 | $366 | $12 | 3% | — | $353 – $403 |
← Hospitals reporting CPT 0865T · Snapshot 20261113T090226Z-3ce6c0b8