Bilateral breast MRI without contrast

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 Bilat W/O Cont

Payers reporting CPT 77047

Payer pricing summary

Low

$148

Average

$1.0k

Median

$802

High

$4.5k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	43	$252	$292	$185	63%	37–136	$221 – $1.6k
2	Anthem fee schedule · outpatient · +29 other terms	179	$584	$516	$586	114%	7–70	$6 – $5.1k
3	UnitedHealthcare fee schedule · outpatient · +38 other terms	732	$424	$527	$526	100%	3–30	$1 – $7.1k
4	Cigna fee schedule · outpatient · +33 other terms	339	$567	$885	$845	95%	3–30	$39 – $7.2k
5	Bcbs Al facility · other · outpatient · +4 other terms	4	$362	$342	$123	36%	2–20	$106 – $439
6	Aetna fee schedule · outpatient · +38 other terms	581	$331	$708	$859	121%	1–10	$1 – $8.4k
7	Molina fee schedule · outpatient · +29 other terms	189	$297	$349	$221	63%	1–10	$1 – $1.7k
8	Carefirst facility · fee schedule · both · +13 other terms	13	$234	$503	$412	82%	1–10	$234 – $1.7k
9	Bcbs In other · both · +1 other terms	11	$871	$899	$141	16%	1–10	$579 – $1.2k
10	Blue Cross Blue Shield fee schedule · outpatient · +35 other terms	466	$555	$671	$599	89%	—	$1 – $10.2k
11	Humana fee schedule · outpatient · +31 other terms	356	$256	$424	$462	109%	—	$1 – $3.6k
12	WellCare fee schedule · outpatient · +23 other terms	182	$258	$282	$128	45%	—	$79 – $871
13	Kaiser fee schedule · outpatient · +26 other terms	104	$474	$704	$1.0k	146%	—	$75 – $11.4k
14	Ambetter fee schedule · outpatient · +23 other terms	98	$414	$396	$257	65%	—	$148 – $2.0k
15	Devoted facility · fee schedule · outpatient · +18 other terms	91	$242	$299	$468	157%	—	$215 – $4.9k
16	MultiPlan fee schedule · outpatient · +22 other terms	87	$2.2k	$2.0k	$1.9k	93%	—	$97 – $12.1k
17	Caresource fee schedule · outpatient · +20 other terms	71	$247	$485	$390	80%	—	$1 – $1.8k
18	Oscar facility · fee schedule · outpatient · +22 other terms	65	$349	$349	$82	23%	—	$221 – $672
19	Tricare facility · fee schedule · outpatient · +18 other terms	61	$240	$407	$794	195%	—	$122 – $5.5k
20	Highmark facility · fee schedule · outpatient · +20 other terms	57	$342	$347	$226	65%	—	$56 – $1.1k
21	Amerihealth Caritas facility · fee schedule · outpatient · +17 other terms	50	$237	$304	$143	47%	—	$133 – $741
22	Optum fee schedule · outpatient · +22 other terms	50	$238	$655	$719	110%	—	$80 – $2.7k
23	First Health fee schedule · outpatient · +21 other terms	47	$1.1k	$1.5k	$1.4k	92%	—	$89 – $4.6k
24	Clover facility · fee schedule · outpatient · +13 other terms	35	$251	$246	$17	7%	—	$216 – $285
25	Medicaid facility · fee schedule · outpatient · +16 other terms	31	$206	$207	$75	36%	—	$125 – $448

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