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
$1
Average
$630
Median
$339
High
$5.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
832 hospitals; the 90th percentile is 8.2× 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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1,159 hospital rates
iThe hospitals that file a Molina 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 | Seattle Children's Hospital Seattle, WA professional · fee schedule · both | 2 | $81 | $81 | $40 | 49% | 111–120 | $42 – $121 |
| 2 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.5k | $1.1k | 75% | 25–43 | $371 – $3.3k |
| 3 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $1.8k | $1.8k | $876 | 49% | 24–33 | $914 – $2.7k |
| 4 | Mercy Health Saint Marys Rockford, MI facility · other · both | 3 | $233 | $226 | $71 | 31% | 13 | $136 – $309 |
| 5 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $183 | $192 | $77 | 40% | 13 | $106 – $283 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $470 | $470 | — | — | 11 | $470 – $470 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · other · outpatient | 2 | $486 | $486 | — | — | 2–20 | $486 – $486 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $297 | $297 | $108 | 36% | 2–20 | $190 – $405 |
| 9 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $234 | $227 | $71 | 31% | 2–20 | $136 – $310 |
| 10 | St Joseph Mercy Oakland Pontiac, MI facility · other · both | 3 | $233 | $224 | $73 | 33% | 2–20 | $131 – $309 |
| 11 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $192 | $192 | $105 | 55% | 2–20 | $87 – $298 |
| 12 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $415 | $415 | — | — | 2–20 | $415 – $415 |
| 13 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 14 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $937 | $937 | — | — | 1–10 | $937 – $937 |
| 15 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | — | — | 1–10 | $342 – $342 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $384 | $384 | — | — | 1–10 | $384 – $384 |
| 18 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $966 | $966 | — | — | 1–10 | $966 – $966 |
| 19 | Carlsbad Medical Center LLC Carlsbad, NM facility · other · outpatient | 1 | $445 | $445 | — | — | 1–10 | $445 – $445 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 21 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $951 | $951 | — | — | 1–10 | $951 – $951 |
| 22 | Loring Hospital Sac City, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · other · both | 3 | $250 | $239 | $80 | 34% | 1–10 | $136 – $331 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · other · both | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 25 | Mercy Memorial Hospital Corporation Monroe, MI facility · other · outpatient | 1 | $141 | $141 | — | — | 1–10 | $141 – $141 |
← Payers reporting CPT 72195 · Snapshot 20261111T120946Z-9134e7f7