Breast MRI with contrast, one side

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MRI BREAST W CONTRAST

Payers reporting HCPCS C8903

Payer pricing summary

Low

$88

Average

$803

Median

$552

High

$3.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +17 other terms	96	$294	$562	$658	117%	1–10	$90 – $4.9k
2	UnitedHealthcare fee schedule · outpatient · +24 other terms	550	$361	$498	$567	114%	—	$98 – $5.2k
3	Aetna fee schedule · outpatient · +25 other terms	406	$196	$397	$467	118%	—	$63 – $4.0k
4	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	318	$431	$647	$1.2k	179%	—	$1 – $10.9k
5	Humana fee schedule · outpatient · +19 other terms	238	$182	$363	$461	127%	—	$138 – $3.3k
6	Cigna fee schedule · outpatient · +20 other terms	231	$395	$637	$612	96%	—	$157 – $2.8k
7	Molina fee schedule · outpatient · +15 other terms	127	$252	$338	$510	151%	—	$128 – $3.6k
8	WellCare fee schedule · outpatient · +12 other terms	114	$181	$212	$68	32%	—	$161 – $417
9	Ambetter facility · fee schedule · outpatient · +10 other terms	72	$307	$317	$58	18%	—	$173 – $429
10	Kaiser fee schedule · outpatient · +11 other terms	67	$254	$361	$345	96%	—	$158 – $3.0k
11	Devoted fee schedule · outpatient · +6 other terms	64	$179	$180	$11	6%	—	$160 – $197
12	MultiPlan fee schedule · outpatient · +11 other terms	45	$1.5k	$1.3k	$1.2k	97%	—	$167 – $3.9k
13	Tricare fee schedule · outpatient · +10 other terms	45	$191	$275	$113	41%	—	$157 – $439
14	Oscar fee schedule · outpatient · +11 other terms	41	$365	$344	$75	22%	—	$207 – $501
15	Optum fee schedule · outpatient · +10 other terms	40	$176	$554	$581	105%	—	$159 – $2.1k
16	Clover fee schedule · outpatient · +5 other terms	31	$195	$189	$13	7%	—	$158 – $212
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$808	$820	$823	100%	—	$167 – $2.1k
18	Caresource fee schedule · outpatient · +9 other terms	26	$181	$206	$43	21%	—	$168 – $300
19	First Health fee schedule · outpatient · +13 other terms	26	$270	$740	$785	106%	—	$167 – $3.3k
20	Bcbs Tx fee schedule · outpatient · +5 other terms	24	$644	$669	$285	43%	—	$167 – $1.3k
21	Medicare fee schedule · outpatient · +9 other terms	24	$176	$175	$1	0%	—	$173 – $176
22	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	21	$185	$182	$4	2%	—	$176 – $185
23	Highmark fee schedule · outpatient · +7 other terms	19	$243	$253	$154	61%	—	$80 – $1.9k
24	Regence fee schedule · outpatient · +7 other terms	17	$347	$479	$428	89%	—	$197 – $3.4k
25	Medica fee schedule · outpatient · +13 other terms	16	$853	$1.4k	$766	56%	—	$184 – $3.2k

Page 1 of 3 · 59 payers