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 scan of both breasts
Low
$90
Average
$916
Median
$354
High
$12.2k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
73 hospitals; the 90th percentile is 16.0× 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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107 hospital rates
iThe hospitals that file a Highmark 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 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $600 | $600 | $318 | 53% | 44–62 | $282 – $918 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | $342 | 59% | 28–73 | $237 – $921 |
| 3 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $282 | $282 | — | — | 15–42 | $282 – $282 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $545 | $1.3k | $997 | 76% | 3–30 | $545 – $2.9k |
| 5 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | — | — | 3–30 | $237 – $237 |
| 6 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $990 | $1.5k | $677 | 46% | 1–10 | $990 – $2.4k |
| 7 | Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient | 2 | $108 | $125 | $24 | 19% | 1–10 | $108 – $159 |
| 8 | Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 9 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 5 | $107 | $102 | $23 | 23% | 1–10 | $68 – $159 |
| 10 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 4 | $107 | $104 | $29 | 28% | 1–10 | $68 – $159 |
| 11 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 10 | $116 | $149 | $54 | 36% | — | $98 – $231 |
| 12 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $329 | $324 | $100 | 31% | — | $126 – $436 |
| 13 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 12 | $376 | $339 | $100 | 29% | — | $126 – $436 |
| 14 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 15 | Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient | 1 | $245 | $245 | — | — | — | $245 – $245 |
| 16 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 3 | $235 | $275 | $131 | 48% | — | $104 – $635 |
| 17 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $329 | $324 | $100 | 31% | — | $126 – $436 |
| 18 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 12 | $376 | $339 | $100 | 29% | — | $126 – $436 |
| 19 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient | 4 | $128 | $128 | $7 | 6% | — | $121 – $135 |
| 20 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient | 2 | $82 | $82 | — | — | — | $82 – $82 |
| 21 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 22 | CentraState Medical Center Freehold Township, NJ fee schedule · outpatient | 2 | $298 | $289 | $13 | 4% | — | $271 – $298 |
| 23 | Chambersburg Hospital Chambersburg, PA fee schedule · outpatient | 7 | $954 | $657 | $335 | 51% | — | $217 – $954 |
| 24 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.2k | $117 | 5% | — | $2.1k – $2.3k |
| 25 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY professional · fee schedule · both | 2 | $135 | $135 | — | — | — | $135 – $135 |
← Payers reporting CPT 77049 · Snapshot 20261111T120946Z-9134e7f7