Breast MRI without contrast, one side

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRI Breast Unilat W/O Cont

Payers reporting CPT 77046

Payer pricing summary

Low

$144

Average

$866

Median

$733

High

$3.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +37 other terms	679	$414	$506	$501	99%	—	$1 – $7.1k
2	Aetna fee schedule · outpatient · +37 other terms	538	$307	$592	$701	118%	—	$1 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	422	$569	$644	$508	79%	—	$1 – $4.0k
4	Humana fee schedule · outpatient · +30 other terms	329	$249	$407	$416	102%	—	$1 – $2.8k
5	Cigna fee schedule · outpatient · +31 other terms	312	$530	$776	$567	73%	—	$35 – $2.8k
6	WellCare fee schedule · outpatient · +21 other terms	178	$258	$274	$109	40%	—	$72 – $682
7	Molina fee schedule · outpatient · +27 other terms	164	$256	$345	$240	69%	—	$1 – $2.2k
8	Anthem fee schedule · outpatient · +27 other terms	154	$575	$429	$387	90%	—	$6 – $3.7k
9	Ambetter fee schedule · outpatient · +19 other terms	102	$418	$409	$215	53%	—	$148 – $1.4k
10	Kaiser fee schedule · outpatient · +22 other terms	77	$398	$518	$471	91%	—	$67 – $3.0k
11	Devoted fee schedule · outpatient · +15 other terms	72	$244	$235	$37	16%	—	$71 – $273
12	Caresource fee schedule · outpatient · +16 other terms	69	$247	$473	$357	76%	—	$1 – $1.4k
13	MultiPlan fee schedule · outpatient · +21 other terms	51	$940	$1.2k	$1.1k	98%	—	$88 – $3.9k
14	Optum fee schedule · outpatient · +19 other terms	51	$232	$639	$725	114%	—	$72 – $2.8k
15	Oscar fee schedule · outpatient · +19 other terms	51	$466	$368	$186	51%	—	$1 – $681
16	Highmark facility · fee schedule · outpatient · +18 other terms	44	$360	$385	$235	61%	—	$51 – $1.1k
17	Tricare facility · fee schedule · outpatient · +19 other terms	44	$240	$403	$738	183%	—	$126 – $4.6k
18	Amerihealth Caritas facility · fee schedule · outpatient · +15 other terms	41	$233	$294	$128	44%	—	$147 – $578
19	Clover fee schedule · outpatient · +9 other terms	33	$264	$256	$18	7%	—	$215 – $288
20	Medicaid fee schedule · both · +13 other terms	31	$235	$718	$362	50%	—	$47 – $1.6k
21	Medicare fee schedule · outpatient · +17 other terms	31	$147	$180	$50	28%	—	$127 – $266
22	First Health fee schedule · outpatient · +16 other terms	30	$417	$889	$933	105%	—	$81 – $3.3k
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$861	$872	$786	90%	—	$228 – $2.1k
24	Regence professional · fee schedule · outpatient · +17 other terms	26	$106	$188	$124	66%	—	$68 – $550
25	Bcbs Mn fee schedule · outpatient · +6 other terms	25	$896	$815	$437	54%	—	$109 – $1.4k

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