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
$27
Average
$81
Median
$66
High
$160
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 3.7× 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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27 hospital rates
iThe hospitals that file a Phcs 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 · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 4 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 6 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 7 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 9 | Forsyth Memorial Hospital, Inc. Kernersville, NC fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 10 | Henry Ford Health Township, MI fee schedule · both | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | Henry Ford Health Detroit, MI fee schedule · both | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | Henry Ford Health Heights, MI fee schedule · both | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | Henry Ford Health Warren, MI fee schedule · both | 2 | $42 | $42 | — | — | — | $42 – $42 |
| 14 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 16 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 17 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 19 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | The Presbyterian Hospital Charlotte, NC fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 23 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX professional · fee schedule · both | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 24 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 25 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
← Payers reporting CPT 76140 · Snapshot 20261113T090226Z-3ce6c0b8