CPT 77058
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
HC MRI Breast Unilat W&W/O Con
Prices here combine facility and professional fees. See them separately →Experimental
Low
$174
Average
$1.5k
Median
$1.6k
High
$4.8k
Showing only prices reported under the case rate methodology. Choose another in the filter below to change the chart. 40 hospitals; the 90th percentile is 10.4× 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.
Click a bar to filter the hospitals table to that price range.
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Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University of Virginia Haymarket Medical Center Haymarket, VA | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $3.8k | $3.8k | $825 | 22% | — | $3.0k – $4.6k |
| 3 | Gundersen Luthern Medical Center Inc La Crosse, WI | $174 | $174 | — | — | — | $174 – $174 |
| 4 | Reston Hospital Center VIENNA, VA | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Davis Medical Center Elkins, WV | $1.1k | $839 | $497 | 59% | — | $141 – $1.3k |
| 6 | Carle Eureka Hospital Eureka, IL | $1.5k | $1.6k | $418 | 26% | — | $1.2k – $2.2k |
| 7 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA | $973 | $973 | $45 | 5% | — | $928 – $1.0k |
| 8 | Lewisgale Hospital Alleghany LOW MOOR, VA | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 9 | Childrens Hospital of Orange County - Profit Orange, CA | $538 | $538 | $38 | 7% | — | $500 – $575 |
| 10 | University of Florida Health Gainesville, FL | $293 | $291 | $11 | 4% | — | $280 – $306 |
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