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
Low
$1
Average
$3.2k
Median
$1.5k
High
$33.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 13 | $2.6k | $1.9k | $761 | 39% | — | $102 – $2.6k |
| 2 | UnitedHealthcare facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 12 | $1.1k | $1.7k | $977 | 57% | — | $94 – $4.3k |
| 3 | Aetna percent of total billed charges · outpatientfrom % of charges · +5 other terms | 11 | $1.8k | $1.9k | $968 | 51% | — | $358 – $3.9k |
| 4 | Cigna facility · percent of total billed charges · outpatientfrom % of charges · +7 other terms | 11 | $1.9k | $6.8k | $22.6k | 333% | — | $286 – $119.0k |
| 5 | MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms | 7 | $3.6k | $3.4k | $916 | 27% | — | $1.9k – $4.2k |
| 6 | Blue Cross Blue Shield percent of total billed charges · outpatientfrom % of charges · +5 other terms | 6 | $2.0k | $1.9k | $645 | 34% | — | $1.0k – $3.4k |
| 7 | First Health professional · percent of total billed charges · bothfrom % of charges · +3 other terms | 6 | $886 | $1.0k | $304 | 29% | — | $886 – $1.8k |
| 8 | Caresource professional · percent of total billed charges · bothfrom % of charges · +1 other terms | 4 | $443 | $443 | — | — | — | $443 – $443 |
| 9 | Molina percent of total billed charges · inpatientfrom % of charges · +4 other terms | 4 | $839 | $906 | $417 | 46% | — | $501 – $1.4k |
| 10 | Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +3 other terms | 3 | $421 | $421 | $414 | 98% | — | $7 – $835 |
← Hospitals reporting CPT 77058 · Snapshot 20261113T090226Z-3ce6c0b8