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
MRI REVIEW OF OUTSIDE EXAM
Low
$0
Average
$39
Median
$15
High
$186
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 8000.0× 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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36 hospital rates
iThe hospitals that file a Ambetter 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 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 4 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 3 | $0 | $0 | $0 | 14% | — | $0 – $0 |
| 10 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $2 | $3 | 141% | — | $0 – $7 |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 15 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 16 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 17 | Mease Dunedin Hospital Dunedin, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 18 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 19 | Morton Plant Hospital Clearwater, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 20 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · inpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 21 | Morton Plant NorthBay Hospital Lutz, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 22 | Pender Memorial Hospital, Incorporated Burgaw, NC fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 23 | ST JOSEPH REGIONAL HEALTH CENTER Navasota, TX fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 25 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
← Payers reporting CPT 76140 · Snapshot 20261113T090226Z-3ce6c0b8