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
$77
Average
$1.2k
Median
$1.1k
High
$2.5k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 5.9× 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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14 hospital rates
iThe hospitals that file a Premera 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 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $910 | $910 | — | — | — | $910 – $910 |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $969 | $969 | — | — | — | $969 – $969 |
| 3 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $48 | 4% | — | $1.2k – $1.3k |
| 4 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · inpatient | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $348 | $348 | — | — | — | $348 – $348 |
| 6 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $962 | $962 | — | — | — | $962 – $962 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $2.5k | $2.5k | $416 | 17% | — | $2.0k – $3.1k |
| 10 | St Mary Medical Center Langhorne, PA professional · fee schedule · inpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 11 | St Mary Medical Center Langhorne, PA professional · fee schedule · outpatient | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 12 | St Peters Hospital Albany, NY facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 13 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $962 | $962 | — | — | — | $962 – $962 |
| 14 | Virginia Mason Medical Center Seattle, WA professional · fee schedule · outpatient | 2 | $730 | $730 | $222 | 30% | — | $509 – $952 |
← Payers reporting CPT 77021 · Snapshot 20261112T181611Z-3fa9fb76