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/Dx MRI
Low
$128
Average
$310
Median
$155
High
$983
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 4.5× 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.
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23 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $983 | $983 | — | — | — | $983 – $983 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $983 | $983 | — | — | — | $983 – $983 |
| 3 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $160 | $160 | $8 | 5% | — | $152 – $167 |
| 4 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $160 | $160 | $8 | 5% | — | $152 – $167 |
| 5 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 6 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 7 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
| 8 | FISHERMENS HEALTH, INC MARATHON, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
| 9 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
| 10 | Henry Ford Health Novi, MI other · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 11 | Henry Ford Health Twp, MI other · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 12 | Henry Ford Health Southfield, MI other · outpatient | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 13 | Henry Ford Health Rochester, MI other · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 14 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 15 | MARINERS HOSPITAL TAVERNIER, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
| 16 | NYU Langone New York, NY case rate · both | 15 | $449 | $449 | — | — | — | $449 – $449 |
| 17 | NYU Langone Mineola, NY case rate · both | 15 | $405 | $405 | — | — | — | $405 – $405 |
| 18 | NYU Langone Brooklyn, NY case rate · both | 15 | $447 | $447 | — | — | — | $447 – $447 |
| 19 | NYU Langone New York, NY case rate · both | 15 | $449 | $449 | — | — | — | $449 – $449 |
| 20 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · both | 15 | $400 | $400 | — | — | — | $400 – $400 |
| 21 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $662 | $662 | $322 | 49% | — | $340 – $983 |
| 22 | SOUTH MIAMI HOSPITAL Weston, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
| 23 | WEST KENDALL BAPTIST HOSPITAL Miami, FL fee schedule · both | 2 | $155 | $155 | $7 | 5% | — | $147 – $162 |
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