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
$9
Average
$51
Median
$28
High
$2.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 2.1× 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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125 hospital rates
iThe hospitals that file a Tricare 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 2 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 3 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 5 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 6 | Ascension Providence Waco, TX other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Ascension Providence Waco, TX other · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Ascension Seton Austin, TX other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Ascension Seton Austin, TX other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Ascension Seton Bastrop, TX other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Ascension Seton Austin, TX other · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 13 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Boston Medical Center Boston, MA other · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 18 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $89 | $89 | — | — | — | $89 – $89 |
| 20 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 23 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 24 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 25 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
← Payers reporting CPT 76014 · Snapshot 20261111T120946Z-9134e7f7