MRI pelvis with contrast

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Chg MRI Pelvis W/Contrast Material

Payers reporting CPT 72196

Payer pricing summary

Low

$190

Average

$1.7k

Median

$1.2k

High

$10.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +38 other terms	752	$656	$710	$647	91%	1–10	$1 – $10.5k
2	Aetna fee schedule · outpatient · +38 other terms	602	$538	$1.0k	$1.1k	106%	1–10	$1 – $7.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	501	$824	$1.0k	$992	97%	1–10	$1 – $10.1k
4	Cigna fee schedule · outpatient · +33 other terms	357	$887	$1.1k	$1.2k	103%	1–10	$1 – $7.9k
5	Bcbs Al facility · other · outpatient · +4 other terms	3	$653	$702	$69	10%	1–10	$616 – $769
6	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$820	$820	—	—	1–10	$820 – $820
7	Humana fee schedule · outpatient · +33 other terms	424	$379	$730	$972	133%	—	$1 – $7.3k
8	Molina fee schedule · outpatient · +34 other terms	254	$399	$409	$213	52%	—	$1 – $1.9k
9	Anthem fee schedule · outpatient · +32 other terms	196	$732	$658	$876	133%	—	$8 – $10.7k
10	WellCare fee schedule · outpatient · +24 other terms	171	$378	$395	$177	45%	—	$86 – $1.4k
11	MultiPlan fee schedule · outpatient · +24 other terms	130	$3.0k	$2.5k	$2.4k	97%	—	$1 – $9.5k
12	Ambetter fee schedule · outpatient · +23 other terms	111	$584	$514	$379	74%	—	$214 – $2.7k
13	Kaiser fee schedule · outpatient · +26 other terms	109	$582	$986	$1.3k	130%	—	$81 – $7.5k
14	Devoted facility · fee schedule · outpatient · +17 other terms	94	$350	$403	$442	110%	—	$311 – $4.9k
15	Aetna Better Health fee schedule · outpatient · +19 other terms	79	$304	$330	$135	41%	—	$186 – $1.3k
16	Caresource fee schedule · outpatient · +19 other terms	79	$382	$538	$329	61%	—	$1 – $2.0k
17	Tricare facility · fee schedule · outpatient · +21 other terms	72	$351	$475	$600	126%	—	$160 – $4.6k
18	Oscar facility · fee schedule · outpatient · +20 other terms	66	$510	$511	$138	27%	—	$296 – $983
19	First Health fee schedule · outpatient · +22 other terms	62	$1.2k	$1.7k	$2.4k	141%	—	$97 – $8.6k
20	Highmark facility · fee schedule · outpatient · +20 other terms	62	$578	$893	$820	92%	—	$61 – $3.9k
21	Optum fee schedule · outpatient · +21 other terms	58	$329	$1.4k	$2.3k	166%	—	$87 – $9.3k
22	Medicaid facility · fee schedule · outpatient · +16 other terms	55	$304	$347	$167	48%	—	$163 – $806
23	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	54	$360	$438	$170	39%	—	$228 – $1.1k
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	43	$352	$333	$82	25%	—	$233 – $562
25	Medica fee schedule · outpatient · +24 other terms	41	$970	$1.4k	$1.1k	83%	—	$76 – $4.7k

Page 1 of 3 · 72 payers