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
$79
Average
$877
Median
$350
High
$8.3k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
390 hospitals; the 90th percentile is 13.0× 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.
Filter by billing methodology
Filter by billing class
540 hospital rates
iThe hospitals that file a Molina 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 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $275 | $275 | $242 | 88% | 31 | $33 – $517 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | $176 | 88% | 18 | $24 – $376 |
| 3 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $2.0k | $2.3k | $1.5k | 64% | 17–26 | $866 – $4.2k |
| 4 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $238 | $266 | $47 | 18% | 16 | $227 – $332 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | $198 | 88% | 13 | $27 – $423 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | $176 | 88% | 13 | $24 – $376 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $286 | $286 | $104 | 36% | 12–21 | $183 – $390 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | $198 | 88% | 2–20 | $27 – $423 |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $225 | $225 | $198 | 88% | 2–20 | $27 – $423 |
| 10 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · other · both | 1 | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 11 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 12 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $996 | $996 | — | — | 1–10 | $996 – $996 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $433 | $433 | — | — | 1–10 | $433 – $433 |
| 14 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 15 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 16 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $552 | $552 | — | — | 1–10 | $552 – $552 |
| 17 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $104 | $149 | $64 | 43% | 1–10 | $104 – $240 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 1 | $338 | $338 | — | — | — | $338 – $338 |
| 20 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 21 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $650 | $650 | — | — | — | $650 – $650 |
| 22 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 2 | $484 | $484 | $167 | 34% | — | $317 – $650 |
| 23 | Aiken Regional Medical Centers North Augusta, SC fee schedule · both | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 24 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $215 | $212 | $88 | 41% | — | $103 – $318 |
| 25 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 1 | $208 | $208 | — | — | — | $208 – $208 |
← Payers reporting CPT 77049 · Snapshot 20261111T120946Z-9134e7f7