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
$164
Average
$383
Median
$318
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
53 payers; the 90th percentile is 2.4× 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 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 527 | $436 | $479 | $387 | 81% | — | $117 – $7.1k |
| 2 | Aetna fee schedule · outpatient · +3 other terms | 362 | $257 | $350 | $254 | 73% | — | $133 – $1.7k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 271 | $429 | $571 | $357 | 63% | — | $0 – $2.7k |
| 4 | Humana fee schedule · outpatient · +5 other terms | 226 | $244 | $343 | $314 | 92% | — | $213 – $1.8k |
| 5 | Cigna fee schedule · outpatient · +3 other terms | 165 | $267 | $482 | $362 | 75% | — | $215 – $2.6k |
| 6 | WellCare fee schedule · outpatient · +3 other terms | 123 | $243 | $281 | $88 | 31% | — | $164 – $566 |
| 7 | Molina fee schedule · outpatient · +4 other terms | 110 | $287 | $349 | $163 | 47% | — | $174 – $1.2k |
| 8 | Anthem fee schedule · outpatient · +3 other terms | 74 | $384 | $608 | $391 | 64% | — | $199 – $1.7k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 68 | $244 | $245 | $14 | 6% | — | $222 – $268 |
| 10 | Ambetter facility · fee schedule · outpatient · +2 other terms | 63 | $421 | $456 | $108 | 24% | — | $225 – $619 |
← Hospitals reporting CPT 0865T · Snapshot 20261113T090226Z-3ce6c0b8