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
$18
Average
$237
Median
$60
High
$5.7k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 24.3× 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.
Filter by billing methodology
Filter by billing class
94 hospital rates
iThe hospitals that file a Medical Mutual 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $65 | $57 | $13 | 22% | — | $35 – $65 |
| 4 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $46 | $46 | $7 | 16% | — | $39 – $54 |
| 7 | Bay Park Community Hospital Oregon, OH facility · other · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 8 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 9 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 10 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 11 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 13 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 14 | Children's Hospital Medical Center Mason, OH percent of total billed charges · inpatientfrom % of charges | 2 | $101 | $101 | $21 | 21% | — | $80 – $123 |
| 15 | Children's Hospital Medical Center Mason, OH percent of total billed charges · outpatientfrom % of charges | 2 | $101 | $101 | $21 | 21% | — | $80 – $123 |
| 16 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Coshocton Regional Medical Center Coshocton, OH fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Defiance Hospital Inc Defiance, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 19 | Defiance Hospital Inc Defiance, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 21 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 23 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $3.0k | $3.0k | $3.0k | 99% | — | $27 – $6.0k |
| 25 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · inpatientfrom % of charges | 2 | $30 | $30 | $6 | 20% | — | $24 – $36 |
← Payers reporting CPT 76014 · Snapshot 20261111T120946Z-9134e7f7