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 Pelvis W/O Contrast - Ltd
Low
$190
Average
$1.4k
Median
$1.0k
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 7.2× 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 | Medicare other · both · +22 other terms | 52 | $252 | $332 | $348 | 105% | 457–691 | $221 – $2.8k |
| 2 | Bcbs Al facility · other · outpatient · +4 other terms | 6 | $344 | $347 | $53 | 15% | 88–151 | $297 – $439 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 541 | $578 | $744 | $857 | 115% | 77–113 | $1 – $13.9k |
| 4 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $407 | $407 | $148 | 36% | 49–58 | $259 – $555 |
| 5 | Anthem fee schedule · outpatient · +36 other terms | 215 | $615 | $580 | $847 | 146% | 32–131 | $6 – $10.7k |
| 6 | UnitedHealthcare fee schedule · outpatient · +40 other terms | 805 | $417 | $531 | $558 | 105% | 9–90 | $1 – $7.1k |
| 7 | Cigna fee schedule · outpatient · +35 other terms | 376 | $607 | $961 | $1.0k | 105% | 7–70 | $38 – $10.5k |
| 8 | Bcbs In other · both · +1 other terms | 11 | $871 | $896 | $136 | 15% | 6–60 | $579 – $1.2k |
| 9 | Aetna fee schedule · outpatient · +40 other terms | 642 | $389 | $871 | $915 | 105% | 3–30 | $1 – $6.7k |
| 10 | Molina fee schedule · outpatient · +35 other terms | 259 | $265 | $316 | $180 | 57% | 2–20 | $1 – $1.8k |
| 11 | Tricare facility · fee schedule · outpatient · +21 other terms | 92 | $240 | $387 | $642 | 166% | 2–20 | $49 – $4.6k |
| 12 | Medica fee schedule · outpatient · +27 other terms | 72 | $339 | $961 | $1.1k | 120% | 2–20 | $54 – $4.2k |
| 13 | Premera facility · fee schedule · both · +18 other terms | 24 | $260 | $594 | $483 | 81% | 2–20 | $244 – $1.7k |
| 14 | Carefirst facility · fee schedule · both · +16 other terms | 23 | $260 | $588 | $478 | 81% | 2–20 | $244 – $1.7k |
| 15 | Bcbs Ar fee schedule · both | 1 | $242 | $242 | — | — | 2–20 | $242 – $242 |
| 16 | Humana fee schedule · outpatient · +36 other terms | 457 | $280 | $604 | $867 | 144% | 1–10 | $1 – $6.2k |
| 17 | First Health fee schedule · outpatient · +23 other terms | 64 | $839 | $1.3k | $1.9k | 143% | 1–10 | $82 – $6.9k |
| 18 | Optum fee schedule · outpatient · +25 other terms | 58 | $223 | $1.2k | $2.0k | 163% | 1–10 | $73 – $7.9k |
| 19 | Medical Mutual fee schedule · outpatient · +21 other terms | 18 | $619 | $686 | $422 | 62% | 1–10 | $207 – $2.4k |
| 20 | Florida Blue fee schedule · outpatient · +2 other terms | 1 | $2.0k | $2.0k | $500 | 25% | 1–10 | $1.5k – $2.9k |
| 21 | WellCare fee schedule · outpatient · +28 other terms | 202 | $258 | $288 | $133 | 46% | — | $54 – $939 |
| 22 | MultiPlan fee schedule · outpatient · +24 other terms | 129 | $2.9k | $2.2k | $2.0k | 90% | — | $89 – $8.3k |
| 23 | Ambetter fee schedule · outpatient · +25 other terms | 121 | $371 | $370 | $265 | 72% | — | $34 – $2.0k |
| 24 | Kaiser fee schedule · outpatient · +28 other terms | 112 | $486 | $719 | $975 | 136% | — | $68 – $7.8k |
| 25 | Devoted facility · fee schedule · outpatient · +20 other terms | 103 | $239 | $285 | $411 | 144% | — | $206 – $4.9k |
← Hospitals reporting CPT 72195 · Snapshot 20261111T120946Z-9134e7f7