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
Assessment by trained clinical staff of implant and/or foreign body for MR safety, including identification and verification of implant components from appropriate sources, analyzing current MR conditional status of individual components and systems, and consulting published professional guidance with written report, initial 15 minutes
Low
$15
Average
$134
Median
$58
High
$1.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
63 payers; the 90th percentile is 10.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 594 | $44 | $95 | $279 | 295% | 1–10 | $1 – $3.4k |
| 2 | Aetna fee schedule · outpatient · +32 other terms | 413 | $31 | $157 | $681 | 434% | 1–10 | $1 – $8.4k |
| 3 | Humana fee schedule · outpatient · +25 other terms | 255 | $27 | $36 | $78 | 217% | 1–10 | $1 – $1.1k |
| 4 | Anthem fee schedule · outpatient · +20 other terms | 127 | $45 | $246 | $389 | 158% | 1–10 | $11 – $2.2k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +28 other terms | 312 | $50 | $56 | $34 | 61% | — | $1 – $251 |
| 6 | Cigna fee schedule · outpatient · +26 other terms | 189 | $40 | $102 | $209 | 205% | — | $9 – $1.9k |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 146 | $29 | $30 | $9 | 31% | — | $11 – $57 |
| 8 | Molina fee schedule · outpatient · +21 other terms | 119 | $31 | $35 | $17 | 47% | — | $1 – $129 |
| 9 | Ambetter facility · fee schedule · outpatient · +15 other terms | 83 | $52 | $127 | $717 | 566% | — | $23 – $7.0k |
| 10 | Kaiser fee schedule · outpatient · +21 other terms | 76 | $48 | $144 | $293 | 204% | — | $9 – $1.3k |
| 11 | Devoted facility · fee schedule · outpatient · +13 other terms | 72 | $27 | $93 | $557 | 598% | — | $23 – $4.9k |
| 12 | MultiPlan fee schedule · outpatient · +18 other terms | 65 | $55 | $73 | $111 | 152% | — | $23 – $940 |
| 13 | Tricare facility · fee schedule · outpatient · +14 other terms | 53 | $28 | $110 | $595 | 542% | — | $9 – $4.6k |
| 14 | Caresource fee schedule · outpatient · +15 other terms | 50 | $42 | $65 | $31 | 48% | — | $1 – $129 |
| 15 | Highmark facility · fee schedule · outpatient · +13 other terms | 48 | $25 | $25 | $21 | 84% | — | $3 – $111 |
| 16 | Oscar facility · fee schedule · outpatient · +17 other terms | 44 | $42 | $41 | $8 | 20% | — | $22 – $54 |
| 17 | Optum fee schedule · outpatient · +18 other terms | 37 | $30 | $75 | $211 | 280% | — | $11 – $1.1k |
| 18 | First Health fee schedule · outpatient · +12 other terms | 35 | $40 | $54 | $48 | 88% | — | $23 – $280 |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $87 | $87 | $36 | 42% | — | $23 – $179 |
| 20 | Clover fee schedule · outpatient · +9 other terms | 31 | $27 | $28 | $2 | 7% | — | $24 – $33 |
| 21 | Medicare fee schedule · outpatient · +13 other terms | 29 | $11 | $17 | $9 | 53% | — | $9 – $32 |
| 22 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 27 | $684 | $699 | $910 | 130% | — | $28 – $2.1k |
| 23 | Superior Healthplan facility · fee schedule · outpatient · +5 other terms | 27 | $28 | $27 | $3 | 10% | — | $24 – $31 |
| 24 | Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms | 25 | $25 | $114 | $203 | 178% | — | $13 – $578 |
| 25 | Regence fee schedule · outpatient · +11 other terms | 20 | $34 | $45 | $29 | 63% | — | $11 – $93 |
← Hospitals reporting CPT 76014 · Snapshot 20261111T120946Z-9134e7f7