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
$359
Average
$1.8k
Median
$1.7k
High
$3.4k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 6.8× 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 Healthpartners 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 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 2 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 3 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 4 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Aurora Medical Center Bay Area Marinette, WI case rate · outpatient | 2 | $1.1k | $1.1k | $133 | 12% | — | $954 – $1.2k |
| 7 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 11 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 1 | $379 | $379 | $275 | 73% | — | $104 – $654 |
| 13 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.5k | $1.1k | 72% | — | $405 – $2.6k |
| 14 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $480 | 41% | — | $672 – $1.7k |
| 15 | Thedacare Regional Medical Center-Neenah Inc WI 54904-6926; 2400 Witzel Ave. Suite C Oshkosh, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | $602 | 30% | — | $1.4k – $2.6k |
| 16 | Thedacare Regional Medical Center-Waupaca Inc Waupaca, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 17 | Thedacare Regional Medical Center-Wild Rose Inc Wild Rose, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $494 | $494 | — | — | — | $494 – $494 |
| 18 | United Regional Health Care System Falls, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | United Regional Health Care System Falls, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $2.8k | $2.9k | $621 | 22% | — | $2.2k – $3.7k |
| 21 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.8k | $2.8k | $567 | 20% | — | $2.2k – $3.6k |
| 22 | University of Iowa Health Care Medical Center Iowa City, IA professional · fee schedule · both | 3 | $1.0k | $1.0k | $515 | 51% | — | $379 – $1.6k |
| 23 | University of Iowa Health Care Medical Center Iowa City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $326 | $326 | — | — | — | $326 – $326 |
| 24 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $2.8k | $2.9k | $621 | 22% | — | $2.2k – $3.7k |
| 25 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.8k | $2.8k | $567 | 20% | — | $2.2k – $3.6k |
← Payers reporting CPT 77021 · Snapshot 20261112T181611Z-3fa9fb76