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&W/O Cont
Low
$49
Average
$569
Median
$351
High
$9.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
354 hospitals; the 90th percentile is 3.5× 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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391 hospital rates
iThe hospitals that file a Tricare 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 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $322 | $322 | — | — | 40 | $322 – $322 |
| 2 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $4.0k | $4.0k | $3.6k | 90% | 31 | $392 – $7.5k |
| 3 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $423 | $423 | — | — | 18 | $423 – $423 |
| 4 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 16 | $343 – $343 |
| 5 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 16 | $343 – $343 |
| 6 | Brigham and Women's Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 15 | $403 – $403 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $315 | $315 | — | — | 13 | $315 – $315 |
| 8 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $334 | $334 | — | — | 11 | $334 – $334 |
| 9 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $311 | $311 | — | — | 2–20 | $311 – $311 |
| 10 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $357 | $357 | — | — | 2–20 | $357 – $357 |
| 11 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $817 | $817 | $592 | 73% | 2–20 | $224 – $1.4k |
| 12 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 13 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $368 | $368 | — | — | 1–10 | $368 – $368 |
| 14 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $453 | $453 | — | — | 1–10 | $453 – $453 |
| 15 | Massachusetts General Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 18 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $367 | $367 | — | — | 1–10 | $367 – $367 |
| 19 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $319 | — | — | 1–10 | $319 – $319 |
| 20 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $358 | $358 | — | — | 1–10 | $358 – $358 |
| 21 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $374 | $374 | — | — | 1–10 | $374 – $374 |
| 22 | Newton Wellesley Hospital Newton, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 23 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $330 | $330 | — | — | 1–10 | $330 – $330 |
| 24 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $333 | $333 | — | — | 1–10 | $333 – $333 |
| 25 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $335 | — | — | 1–10 | $335 – $335 |
← Payers reporting CPT 72197 · Snapshot 20261111T120946Z-9134e7f7