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 Any Jt Lower Extrem W/O Contrast Matrl
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +40 other terms | 766 | $390.87 | $484.80 | $1.00 – $7,274 |
| 2 | Aetna fee schedule · outpatient · +40 other terms | 617 | $342.18 | $851.41 | $1.00 – $8,259 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 513 | $557.97 | $665.44 | $1.00 – $14,288 |
| 4 | Humana fee schedule · outpatient · +36 other terms | 433 | $261.05 | $465.27 | $1.10 – $7,498 |
| 5 | Cigna fee schedule · outpatient · +36 other terms | 352 | $538.39 | $883.61 | $1.15 – $10,491 |
| 6 | Molina fee schedule · outpatient · +36 other terms | 251 | $272.32 | $298.09 | $1.00 – $2,071 |
| 7 | WellCare fee schedule · outpatient · +29 other terms | 214 | $258.43 | $273.31 | $51.05 – $1,008 |
| 8 | Anthem fee schedule · outpatient · +36 other terms | 197 | $559.38 | $422.46 | $6.21 – $9,107 |
| 9 | Ambetter fee schedule · outpatient · +27 other terms | 120 | $369.15 | $335.34 | $27.00 – $1,990 |
| 10 | MultiPlan fee schedule · outpatient · +24 other terms | 93 | $1,781 | $1,516 | $83.24 – $9,110 |
| 11 | Aetna Better Health fee schedule · outpatient · +20 other terms | 88 | $227.71 | $258.30 | $121.89 – $1,127 |
| 12 | Caresource fee schedule · outpatient · +24 other terms | 88 | $344.39 | $385.02 | $1.08 – $1,407 |
| 13 | Devoted facility · fee schedule · outpatient · +20 other terms | 86 | $242.35 | $285.69 | $206.40 – $4,881 |
| 14 | Tricare facility · fee schedule · outpatient · +21 other terms | 86 | $261.53 | $460.34 | $48.95 – $4,590 |
| 15 | Kaiser fee schedule · outpatient · +28 other terms | 82 | $397.82 | $434.87 | $9.18 – $4,492 |
| 16 | Highmark facility · fee schedule · outpatient · +22 other terms | 78 | $421.44 | $724.77 | $47.87 – $3,579 |
| 17 | Medica fee schedule · outpatient · +28 other terms | 73 | $315.18 | $637.90 | $52.07 – $3,770 |
| 18 | Optum fee schedule · outpatient · +25 other terms | 70 | $231.85 | $659.01 | $68.81 – $6,434 |
| 19 | Oscar facility · fee schedule · outpatient · +25 other terms | 55 | $336.08 | $319.90 | $220.72 – $741.13 |
| 20 | Medicaid facility · fee schedule · outpatient · +20 other terms | 54 | $227.33 | $235.33 | $120.47 – $560.10 |
| 21 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 46 | $238.22 | $254.11 | $176.81 – $423.95 |
| 22 | First Health fee schedule · outpatient · +22 other terms | 42 | $249.17 | $883.88 | $76.84 – $7,895 |
| 23 | Medicare other · both · +22 other terms | 42 | $252.44 | $359.47 | $221.34 – $2,447 |
| 24 | Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms | 39 | $269.00 | $392.76 | $165.81 – $1,182 |
| 25 | Clover facility · fee schedule · outpatient · +16 other terms | 36 | $254.47 | $293.69 | $207.70 – $567.38 |
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