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
$11
Average
$82
Median
$97
High
$120
Each hospital's average Premera rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 3.3× 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
25 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 4 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 3 | $111 | $119 | $13 | 11% | — | $109 – $137 |
| 6 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 3 | $111 | $119 | $13 | 11% | — | $109 – $137 |
| 7 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 10 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 11 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 3 | $111 | $119 | $13 | 11% | — | $109 – $137 |
| 12 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 3 | $78 | $78 | — | — | — | $78 – $78 |
| 13 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 3 | $111 | $119 | $13 | 11% | — | $109 – $137 |
| 14 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 3 | $87 | $87 | — | — | — | $87 – $87 |
| 15 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 3 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $99 | $97 | $3 | 3% | — | $93 – $99 |
| 17 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 23 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 3 | $111 | $120 | $12 | 10% | — | $111 – $137 |
| 24 | Virginia Mason Medical Center Seattle, WA facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | — | — | — | $45 – $45 |
← Payers reporting CPT 76014 · Snapshot 20261111T120946Z-9134e7f7