X-ray report review by outside radiologist

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI REVIEW OF OUTSIDE EXAM

Payers reporting CPT 76140

Payer pricing summary

Low

Average

$394

Median

$85

High

$6.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +18 other terms	218	$207	$402	$612	152%	—	$1 – $8.4k
2	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	184	$47	$51	$42	83%	—	$0 – $267
3	Humana fee schedule · outpatient · +14 other terms	101	$259	$1.7k	$4.8k	290%	—	$16 – $18.3k
4	UnitedHealthcare fee schedule · outpatient · +20 other terms	68	$33	$172	$1.2k	675%	—	$1 – $10.0k
5	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$64	$65	$19	30%	—	$27 – $121
6	Cigna fee schedule · outpatient · +17 other terms	22	$48	$45	$17	37%	—	$17 – $99
7	Caresource fee schedule · outpatient · +4 other terms	21	$267	$200	$106	53%	—	$22 – $267
8	Anthem fee schedule · outpatient · +12 other terms	17	$10	$10	—	—	—	$10 – $10
9	Molina facility · case rate · outpatient · +12 other terms	15	$79	$86	$20	23%	—	$55 – $133
10	Aetna Better Health fee schedule · outpatient · +2 other terms	13	$90	$60	$33	54%	—	$25 – $90
11	Wellmark fee schedule · both · +5 other terms	13	$3	$4	$6	153%	—	$3 – $37
12	Amerihealth Caritas fee schedule · both · +5 other terms	12	$31	$31	—	—	—	$31 – $31
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$43	$33	$19	56%	—	$14 – $54
14	Highmark fee schedule · outpatient · +5 other terms	12	$39	$39	$2	6%	—	$21 – $39
15	MultiPlan fee schedule · outpatient · +11 other terms	12	$61	$61	$22	36%	—	$37 – $87
16	WellCare fee schedule · both · +5 other terms	12	$31	$31	$0	0%	—	$31 – $31
17	Optum facility · case rate · outpatient · +5 other terms	11	$74	$81	$18	22%	—	$67 – $121
18	Tricare fee schedule · outpatient · +8 other terms	11	$169	$176	$27	16%	—	$169 – $289
19	Bcbs Il professional · fee schedule · both · +1 other terms	9	$19	$17	$15	87%	—	$0 – $37
20	First Health professional · fee schedule · both · +10 other terms	8	$60	$61	$26	43%	—	$17 – $96
21	Phcs fee schedule · outpatient · +8 other terms	7	$73	$65	$22	34%	—	$37 – $87
22	Ambetter fee schedule · both · +6 other terms	6	$0	$6	$29	513%	—	$0 – $186
23	Medcost fee schedule · outpatient · +1 other terms	6	$79	$71	$17	24%	—	$46 – $91
24	Beechstreet fee schedule · outpatient	4	$87	$78	$17	22%	—	$49 – $87
25	Kaiser fee schedule · both · +10 other terms	4	$27	$25	$4	14%	—	$19 – $27

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