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
PR MRI CARDIAC W STRESS IMAGING WO&W CONTRAST
Low
$159
Average
$1.3k
Median
$1.0k
High
$2.9k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 7.2× 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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32 hospital rates
iThe hospitals that file a Excellus 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 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 3 | $136 | $161 | $57 | 36% | — | $106 – $240 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 3 | $132 | $159 | $58 | 36% | — | $106 – $240 |
| 4 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 5 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 6 | Elizabethtown Community Hospital Elizabethtown, NY professional · fee schedule · both | 3 | $474 | $537 | $148 | 28% | — | $396 – $742 |
| 7 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 4 | $505 | $1.0k | $905 | 90% | — | $303 – $2.7k |
| 8 | Highland Hospital Rochester, NY fee schedule · outpatient | 8 | $1.1k | $1.0k | $477 | 48% | — | $505 – $1.8k |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 11 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $801 | $801 | — | — | — | $801 – $801 |
| 13 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 14 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 17 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Newark-Wayne Community Hospital Newark, NY facility · fee schedule · outpatient | 1 | $577 | $577 | — | — | — | $577 – $577 |
| 19 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 4 | $505 | $834 | $613 | 74% | — | $303 – $1.7k |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $2.7k | $2.7k | $1.8k | 64% | — | $979 – $4.5k |
| 22 | Samaritan Medical Center Watertown, NY professional · fee schedule · both | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 23 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 25 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $459 | $459 | — | — | — | $459 – $459 |
← Payers reporting CPT 75563 · Snapshot 20261111T120946Z-9134e7f7