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 Guided Tissue Ablation
Low
$27
Average
$2.8k
Median
$203
High
$50k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 16.3× 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.
Filter by billing methodology
Filter by billing class
27 hospital rates
iThe hospitals that file a Tricare 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 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $173 | $173 | $14 | 8% | — | $159 – $187 |
| 2 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 3 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 4 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 5 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 6 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 7 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $190 | $190 | — | — | — | $190 – $190 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50k | $50k | — | — | — | $50k – $50k |
| 9 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 10 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $513 | $513 | $38 | 7% | — | $475 – $551 |
| 11 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $607 | $607 | — | — | — | $607 – $607 |
| 12 | Good Samaritan Hospital Suffern, NY facility · fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 13 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 14 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 15 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 16 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 17 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 18 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 1 | $66 | $66 | — | — | — | $66 – $66 |
| 19 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 20 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $650 | $650 | — | — | — | $650 – $650 |
| 21 | Nationwide Children's Hospital Columbus, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $696 | $696 | — | — | — | $696 – $696 |
| 22 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 23 | San Juan Hospital Spanish Valley, UT professional · fee schedule · outpatient | 3 | $203 | $203 | — | — | — | $203 – $203 |
| 24 | St Anthony Community Hospital Warwick, NY facility · fee schedule · outpatient | 1 | $594 | $594 | — | — | — | $594 – $594 |
| 25 | University of Texas MD Anderson Cancer Center The University of Texas M D Anderson Cancer Center Houston, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
← Payers reporting CPT 77022 · Snapshot 20261113T090226Z-3ce6c0b8