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
$3
Average
$470
Median
$20
High
$26.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 11.2× 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
77 hospital rates
iThe hospitals that file a Anthem 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $35 | $26 | $10 | 39% | — | $14 – $35 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $21 | $23 | $3 | 15% | — | $21 – $28 |
| 6 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 7 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 9 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 11 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 8 | $10 | $10 | — | — | — | $10 – $10 |
| 12 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Children's National Hospital Washington, DC professional · fee schedule · both | 4 | $23 | $24 | $3 | 13% | — | $22 – $29 |
| 14 | Childrens Hospital of Los Angeles Angeles, CA facility · case rate · outpatient | 2 | $6 | $6 | $1 | 13% | — | $6 – $7 |
| 15 | Childrens Hospital of Los Angeles Angeles, CA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 16 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 17 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 4 | $5 | $5 | $1 | 23% | — | $4 – $7 |
| 18 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH professional · fee schedule · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 20 | Corona Regional Medical Center Corona, CA fee schedule · both | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 21 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $3 | $5 | 141% | — | $0 – $10 |
| 22 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 6 | $10 | $8 | $4 | 58% | — | $0 – $10 |
| 23 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 5 | $10 | $7 | $5 | 63% | — | $0 – $10 |
| 24 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 4 | $0 | $4 | $5 | 122% | — | $0 – $10 |
| 25 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 5 | $0 | $3 | $5 | 158% | — | $0 – $10 |
← Payers reporting CPT 76140 · Snapshot 20261113T090226Z-3ce6c0b8