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
$70
Average
$389
Median
$246
High
$2.8k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
221 hospitals; the 90th percentile is 4.2× 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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249 hospital rates
iThe hospitals that file a Medicare 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 | Brigham and Women's Hospital Boston, MA other · both | 1 | $287 | $287 | — | — | 84 | $287 – $287 |
| 2 | John Muir Health Walnut Creek, CA other · both | 3 | $337 | $337 | — | — | 69 | $337 – $337 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · both | 2 | $252 | $252 | — | — | 37 | $252 – $252 |
| 4 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $227 | $227 | — | — | 36 | $227 – $227 |
| 5 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $226 | $226 | — | — | 32 | $226 – $226 |
| 6 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $226 | $226 | — | — | 32 | $226 – $226 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $215 | $215 | — | — | 31 | $215 – $215 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN other · both | 1 | $252 | $252 | — | — | 30 | $252 – $252 |
| 9 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $244 | $244 | — | — | 28 | $244 – $244 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $221 | $221 | — | — | 25 | $221 – $221 |
| 11 | Mercy Hospital Ada Inc Ada, OK facility · other · outpatient | 1 | $236 | $236 | — | — | 24 | $236 – $236 |
| 12 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $218 | $218 | — | — | 24 | $218 – $218 |
| 13 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $243 | $243 | — | — | 22 | $243 – $243 |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $227 | $227 | — | — | 20 | $227 – $227 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $227 | $227 | — | — | 20 | $227 – $227 |
| 16 | Massachusetts General Hospital Boston, MA other · both | 1 | $287 | $287 | — | — | 19–28 | $287 – $287 |
| 17 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $241 | $241 | — | — | 18 | $241 – $241 |
| 18 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $252 | $252 | — | — | 17 | $252 – $252 |
| 19 | Boston Medical Center Boston, MA other · both | 1 | $277 | $277 | — | — | 16 | $277 – $277 |
| 20 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 1 | $234 | $234 | — | — | 15 | $234 – $234 |
| 21 | Tufts Medical Center BOSTON, MA other · both | 1 | $1.5k | $1.5k | — | — | 15 | $1.5k – $1.5k |
| 22 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $253 | $253 | — | — | 15 | $253 – $253 |
| 23 | Newton Wellesley Hospital Newton, MA other · both | 1 | $287 | $287 | — | — | 13 | $287 – $287 |
| 24 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $287 | $287 | — | — | 12 | $287 – $287 |
| 25 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $213 | $213 | — | — | 2–20 | $213 – $213 |
← Payers reporting CPT 72195 · Snapshot 20261111T120946Z-9134e7f7