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
$1
Average
$1.5k
Median
$800
High
$16.4k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1045 hospitals; the 90th percentile is 30.6× 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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1,535 hospital rates
iThe hospitals that file a Cigna 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 | 1 | $1.2k | $1.2k | — | — | 5–50 | $1.2k – $1.2k |
| 2 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $2.8k | $1.8k | 62% | 5–50 | $689 – $4.7k |
| 3 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $1.5k | $690 | 46% | 5–50 | $171 – $2.0k |
| 4 | Barnes Jewish Hospital St. Louis, MO per diem · both | 3 | $1.4k | $1.1k | $348 | 30% | 4–40 | $655 – $1.4k |
| 5 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $11.2k | $8.0k | 71% | 3–30 | $504 – $19.5k |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $13.7k | $11.2k | $8.0k | 71% | 3–30 | $504 – $19.5k |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $396 | $341 | $188 | 55% | 3–30 | $88 – $538 |
| 8 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $278 | $278 | — | — | 2–20 | $278 – $278 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | $1.1k | 49% | 2–20 | $1.2k – $3.4k |
| 10 | HARTFORD HOSPITAL HARTFORD, CT fee schedule · outpatient | 1 | $255 | $255 | — | — | 2–20 | $255 – $255 |
| 11 | John Muir Health Walnut Creek, CA percent of total billed charges · bothfrom % of charges | 3 | $3.6k | $3.6k | $924 | 26% | 2–20 | $2.7k – $4.5k |
| 12 | Missouri Baptist Medical Center Saint Louis, MO per diem · both | 3 | $989 | $875 | $164 | 19% | 2–20 | $644 – $993 |
| 13 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $512 | $512 | $451 | 88% | 2–20 | $61 – $963 |
| 14 | University of Virginia Medical Center Charlottesville, VA fee schedule · both | 3 | $378 | $382 | $36 | 9% | 2–20 | $340 – $427 |
| 15 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $168 | $168 | $51 | 30% | 1–10 | $117 – $219 |
| 16 | Boston Medical Center Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 17 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 5 | $1.4k | $1.1k | $555 | 51% | 1–10 | $94 – $1.6k |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 19 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 20 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $65 | $65 | — | — | 1–10 | $65 – $65 |
| 21 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $4.2k | $4.2k | $174 | 4% | 1–10 | $4.0k – $4.4k |
| 22 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 8 | $2.9k | $2.8k | $356 | 13% | 1–10 | $2.4k – $3.4k |
| 23 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 8 | $2.9k | $2.8k | $356 | 13% | 1–10 | $2.4k – $3.4k |
| 24 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $10.6k | $10.6k | — | — | 1–10 | $10.6k – $10.6k |
| 25 | The University of Kansas Health System- St. Francis Campus Topeka, KS facility · percent of total billed charges · bothfrom % of charges | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
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