Fetal MRI, each additional pregnancy

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

MRI Fetal Ea Addtl Gestation

Payers reporting CPT 74713

Payer pricing summary

Low

$117

Average

$576

Median

$543

High

$1.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	260	$212	$396	$538	136%	—	$1 – $3.4k
2	Aetna fee schedule · outpatient · +28 other terms	239	$361	$642	$809	126%	—	$1 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	238	$407	$478	$505	106%	—	$0 – $4.0k
4	Humana fee schedule · outpatient · +23 other terms	188	$313	$633	$638	101%	—	$1 – $2.5k
5	Cigna fee schedule · outpatient · +25 other terms	153	$484	$756	$643	85%	—	$46 – $2.8k
6	Molina fee schedule · outpatient · +22 other terms	126	$225	$247	$207	84%	—	$1 – $1.8k
7	Anthem fee schedule · outpatient · +18 other terms	104	$513	$355	$279	79%	—	$84 – $2.0k
8	Aetna Better Health fee schedule · outpatient · +16 other terms	63	$224	$226	$14	6%	—	$179 – $258
9	Bcbs Tx fee schedule · outpatient · +2 other terms	32	$655	$684	$251	37%	—	$224 – $1.3k
10	MultiPlan fee schedule · outpatient · +16 other terms	32	$445	$462	$320	69%	—	$190 – $1.2k
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	27	$215	$205	$10	5%	—	$194 – $215
12	Kaiser fee schedule · outpatient · +18 other terms	27	$203	$398	$382	96%	—	$98 – $1.3k
13	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$2.0k	$1.9k	$164	8%	—	$1.7k – $2.1k
14	Caresource fee schedule · outpatient · +12 other terms	26	$222	$286	$125	44%	—	$1 – $382
15	WellCare fee schedule · both · +13 other terms	26	$153	$150	$173	115%	—	$67 – $1.6k
16	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	24	$204	$206	$8	4%	—	$204 – $245
17	Medica fee schedule · outpatient · +15 other terms	22	$358	$382	$124	33%	—	$82 – $553
18	Devoted fee schedule · outpatient · +8 other terms	21	$203	$164	$43	26%	—	$114 – $203
19	First Health fee schedule · outpatient · +13 other terms	21	$206	$365	$453	124%	—	$204 – $3.0k
20	Regence professional · fee schedule · outpatient · +5 other terms	21	$100	$122	$75	62%	—	$87 – $516
21	Medicare fee schedule · outpatient · +9 other terms	19	$114	$103	$23	22%	—	$1 – $116
22	Ambetter other · outpatient · +15 other terms	18	$1.0k	$4.9k	$3.2k	65%	—	$1.0k – $8.0k
23	Healthcare Highways other · outpatient · +4 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k
24	Optum fee schedule · outpatient · +12 other terms	17	$114	$543	$443	81%	—	$114 – $1.4k
25	Phcs fee schedule · outpatient · +11 other terms	17	$420	$432	$85	20%	—	$350 – $742

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