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 GUIDANCE NDL PLMT RS&I [OR]
Low
$0
Average
$982
Median
$937
High
$4.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
64 payers; the 90th percentile is 4.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +32 other terms | 281 | $939 | $1.3k | $1.2k | 90% | — | $1 – $11.5k |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +29 other terms | 279 | $1.0k | $1.1k | $881 | 79% | — | $0 – $6.6k |
| 3 | UnitedHealthcare fee schedule · outpatient · +32 other terms | 232 | $441 | $702 | $697 | 99% | — | $1 – $4.5k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 178 | $722 | $1.2k | $1.3k | 106% | — | $1 – $5.6k |
| 5 | Anthem fee schedule · outpatient · +24 other terms | 123 | $715 | $681 | $698 | 103% | — | $71 – $4.6k |
| 6 | Cigna fee schedule · outpatient · +29 other terms | 115 | $814 | $1.2k | $1.9k | 149% | — | $72 – $11.1k |
| 7 | Molina fee schedule · outpatient · +23 other terms | 60 | $386 | $537 | $565 | 105% | — | $1 – $3.0k |
| 8 | MultiPlan fee schedule · outpatient · +18 other terms | 50 | $1.5k | $1.3k | $832 | 64% | — | $415 – $4.5k |
| 9 | Kaiser fee schedule · outpatient · +23 other terms | 44 | $422 | $608 | $462 | 76% | — | $72 – $2.9k |
| 10 | WellCare fee schedule · both · +13 other terms | 41 | $206 | $211 | $144 | 68% | — | $0 – $492 |
| 11 | Caresource fee schedule · outpatient · +16 other terms | 30 | $674 | $724 | $247 | 34% | — | $1 – $868 |
| 12 | Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms | 29 | $309 | $381 | $142 | 37% | — | $51 – $965 |
| 13 | Regence professional · fee schedule · outpatient · +11 other terms | 27 | $204 | $476 | $394 | 83% | — | $69 – $1.3k |
| 14 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms | 26 | $2.0k | $1.9k | $164 | 8% | — | $1.7k – $2.1k |
| 15 | Medicaid fee schedule · outpatient · +11 other terms | 26 | $293 | $405 | $535 | 132% | — | $1 – $3.3k |
| 16 | Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 25 | $277 | $316 | $118 | 37% | — | $138 – $653 |
| 17 | Highmark facility · fee schedule · outpatient · +13 other terms | 24 | $309 | $804 | $743 | 92% | — | $296 – $2.7k |
| 18 | Medica fee schedule · outpatient · +17 other terms | 24 | $1.0k | $1.2k | $649 | 53% | — | $67 – $2.5k |
| 19 | Devoted fee schedule · outpatient · +11 other terms | 22 | $407 | $374 | $74 | 20% | — | $75 – $422 |
| 20 | Ambetter fee schedule · both · +14 other terms | 21 | $467 | $473 | $285 | 60% | — | $66 – $1.3k |
| 21 | Aetna Better Health fee schedule · outpatient · +17 other terms | 20 | $360 | $385 | $106 | 27% | — | $189 – $515 |
| 22 | Phcs fee schedule · outpatient · +11 other terms | 20 | $1.6k | $1.6k | $543 | 34% | — | $742 – $2.6k |
| 23 | Medicare fee schedule · outpatient · +9 other terms | 19 | $346 | $341 | $71 | 21% | — | $297 – $659 |
| 24 | Optum fee schedule · outpatient · +15 other terms | 18 | $349 | $1.0k | $824 | 81% | — | $77 – $2.7k |
| 25 | Tricare facility · fee schedule · outpatient · +14 other terms | 18 | $2.2k | $4.6k | $10.2k | 221% | — | $36 – $50k |
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