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
MRI Brain W/O Contrast
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +41 other terms | 807 | $416.96 | $537.58 | $1.00 – $7,103 |
| 2 | Aetna fee schedule · outpatient · +40 other terms | 644 | $368.77 | $893.56 | $1.00 – $5,830 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 540 | $571.57 | $730.84 | $1.00 – $17,619 |
| 4 | Humana fee schedule · outpatient · +38 other terms | 455 | $261.63 | $533.33 | $1.10 – $6,234 |
| 5 | Cigna fee schedule · outpatient · +35 other terms | 379 | $550.23 | $976.93 | $38.72 – $10,491 |
| 6 | Molina fee schedule · outpatient · +36 other terms | 266 | $271.46 | $312.58 | $1.00 – $1,976 |
| 7 | Anthem fee schedule · outpatient · +36 other terms | 221 | $608.46 | $514.50 | $6.21 – $10,686 |
| 8 | WellCare fee schedule · outpatient · +29 other terms | 202 | $258.43 | $300.46 | $55.11 – $1,483 |
| 9 | MultiPlan fee schedule · outpatient · +24 other terms | 132 | $2,979 | $2,406 | $89.73 – $8,621 |
| 10 | Ambetter fee schedule · outpatient · +25 other terms | 120 | $378.76 | $351.76 | $57.60 – $2,404 |
| 11 | Kaiser fee schedule · outpatient · +28 other terms | 112 | $472.77 | $739.10 | $69.02 – $8,095 |
| 12 | Devoted facility · fee schedule · outpatient · +20 other terms | 103 | $239.32 | $283.11 | $206.40 – $4,881 |
| 13 | Caresource fee schedule · outpatient · +24 other terms | 90 | $308.19 | $393.93 | $1.08 – $2,966 |
| 14 | Aetna Better Health fee schedule · outpatient · +21 other terms | 89 | $220.48 | $255.26 | $116.92 – $1,148 |
| 15 | Tricare facility · fee schedule · outpatient · +21 other terms | 88 | $239.34 | $780.84 | $48.95 – $6,112 |
| 16 | Medica fee schedule · outpatient · +29 other terms | 79 | $447.03 | $1,085 | $56.22 – $5,496 |
| 17 | Highmark facility · fee schedule · outpatient · +23 other terms | 74 | $438.85 | $694.18 | $52.25 – $3,802 |
| 18 | Oscar facility · fee schedule · outpatient · +24 other terms | 70 | $348.78 | $416.13 | $165.40 – $4,081 |
| 19 | First Health fee schedule · outpatient · +23 other terms | 64 | $996.66 | $1,262 | $82.82 – $6,494 |
| 20 | Optum fee schedule · outpatient · +26 other terms | 58 | $222.54 | $713.90 | $74.16 – $3,890 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms | 57 | $405.13 | $413.37 | $165.81 – $1,264 |
| 22 | Medicaid facility · fee schedule · outpatient · +19 other terms | 57 | $227.33 | $247.81 | $110.20 – $731.23 |
| 23 | Medicare other · both · +22 other terms | 54 | $252.44 | $344.83 | $221.34 – $2,332 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 42 | $241.14 | $255.80 | $202.15 – $410.36 |
| 25 | Clover facility · fee schedule · outpatient · +15 other terms | 36 | $251.29 | $246.18 | $207.70 – $284.66 |
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