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  4. /C8904
HCPCS C8904

Mri w/o cont, breast, uni

Reported by 145 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$89

Average

$1.7k

Median

$1.1k

High

$9.9k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Mount Sinai HospitalNew York, NY$0$121$203—$0$539
2Hca Florida Largo West HospitalLARGO, FL$1.1k$1.6k$1.3k—$226$4.4k
3Spotsylvania Regional Medical CenterFredericksburg, VA$1.9k$1.9k——$1.9k$1.9k
4Chippenham HospitalCHESTERFIELD, VA$1.6k$1.6k$240—$1.4k$1.9k
5Retreat Doctors HospitalRICHMOND, VA$1.6k$1.6k$240—$1.4k$1.9k
6Stonesprings Hospital CenterDulles, VA$1.9k$1.9k——$1.9k$1.9k
7Reston Hospital CenterVIENNA, VA$1.9k$1.9k——$1.9k$1.9k
8Parham Doctors HospitalRichmond, VA$1.6k$1.6k$240—$1.4k$1.9k
9Johnston-willis HospitalRICHMOND, VA$1.6k$1.6k$240—$1.4k$1.9k
10Tricities HospitalHOPEWELL, VA$1.6k$1.6k$240—$1.4k$1.9k
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Look up this code directly

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