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
$237
Average
$714
Median
$463
High
$1.6k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 2.9× 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
42 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $1.1k | $1.1k | — | — | 44 | $1.1k – $1.1k |
| 2 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $1.1k | $1.1k | $39 | 4% | 40 | $1.0k – $1.1k |
| 3 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $1.1k | $1.1k | — | — | 30 | $1.1k – $1.1k |
| 4 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $1.0k | $1.0k | $49 | 5% | 27–36 | $992 – $1.1k |
| 5 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $996 | $996 | — | — | 1–10 | $996 – $996 |
| 6 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $996 | $996 | — | — | 1–10 | $996 – $996 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
| 10 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
| 11 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $973 | $973 | $45 | 5% | — | $928 – $1.0k |
| 13 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 14 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $225 | 19% | — | $955 – $1.4k |
| 19 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 20 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $529 | $529 | $369 | 70% | — | $160 – $899 |
| 21 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
| 22 | Regional Health Services of Howard County Cresco, IA percent of total billed charges · inpatientfrom % of charges | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 23 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 24 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 25 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 4 | $425 | $463 | $254 | 55% | — | $103 – $912 |
← Payers reporting CPT 77049 · Snapshot 20261111T120946Z-9134e7f7