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
$48
Average
$190
Median
$87
High
$904
Each hospital's average Medcost rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 8.5× 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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7 hospital rates
iThe hospitals that file a Medcost 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 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 2 | $48 | $48 | $2 | 5% | — | $46 – $51 |
| 2 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 2 | $87 | $87 | $4 | 5% | — | $82 – $91 |
| 3 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 2 | $87 | $87 | $4 | 5% | — | $82 – $91 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 1 | $904 | $904 | — | — | — | $904 – $904 |
| 5 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 2 | $87 | $87 | $4 | 5% | — | $82 – $91 |
| 6 | Pender Memorial Hospital, Incorporated Burgaw, NC fee schedule · outpatient | 2 | $49 | $49 | $3 | 5% | — | $47 – $52 |
| 7 | The Presbyterian Hospital Charlotte, NC fee schedule · outpatient | 2 | $71 | $71 | $2 | 3% | — | $69 – $73 |
← Payers reporting CPT 76140 · Snapshot 20261113T090226Z-3ce6c0b8