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
HC MRI SIM PLANNING WITHOUT INTERP
Low
$28
Average
$1.2k
Median
$503
High
$16.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
311 hospitals; the 90th percentile is 26.9× 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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615 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 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $392 | $500 | $453 | 91% | 91–181 | $66 – $1.2k |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $3.1k | $1.9k | 62% | 44 | $751 – $5.1k |
| 3 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $229 | $201 | $71 | 35% | 36–54 | $87 – $261 |
| 4 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 4 | $243 | $247 | $177 | 72% | 12–120 | $57 – $443 |
| 5 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · inpatient | 3 | $440 | $311 | $182 | 58% | 9–90 | $54 – $440 |
| 6 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $66 | $66 | — | — | 5–50 | $66 – $66 |
| 7 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.5k | $1.7k | 69% | 5–50 | $266 – $5.8k |
| 8 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · outpatient | 1 | $57 | $57 | — | — | 3–30 | $57 – $57 |
| 9 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $3.1k | $1.8k | 58% | 3–30 | $604 – $4.7k |
| 10 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $812 | $812 | — | — | 3–30 | $812 – $812 |
| 11 | Norton Hospitals INC Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $5.1k | $4.3k | $1.2k | 29% | 3–30 | $2.5k – $5.2k |
| 12 | St Josephs Community Hospital of West Bend Inc West Bend, WI other · outpatient | 1 | $54 | $54 | — | — | 3–30 | $54 – $54 |
| 13 | St Josephs Community Hospital of West Bend Inc West Bend, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $3.1k | $1.8k | 58% | 3–30 | $604 – $4.7k |
| 14 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 2–20 | $2.9k – $2.9k |
| 15 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 16 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 17 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 19 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 2 | $218 | $218 | $5 | 2% | 1–10 | $213 – $223 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $207 | $178 | $69 | 39% | — | $82 – $244 |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.2k | $1.3k | 106% | — | $128 – $5.7k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.2k | $1.3k | 106% | — | $124 – $5.6k |
| 24 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH other · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
← Payers reporting CPT 76498 · Snapshot 20261111T120946Z-9134e7f7