Breast MRI without and 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 UNI W W/O CONTRAST

Payers reporting HCPCS C8905

Payer pricing summary

Low

$171

Average

$1.3k

Median

$1.1k

High

$4.5k

Payer rate distribution

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Filter by billing class

#
1	Anthem fee schedule · outpatient · +21 other terms	92	$689	$777	$686	88%	1–10	$185 – $5.0k
2	UnitedHealthcare fee schedule · outpatient · +29 other terms	582	$727	$763	$570	75%	—	$1 – $10.5k
3	Aetna fee schedule · outpatient · +29 other terms	423	$390	$616	$504	82%	—	$1 – $4.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	331	$841	$1.1k	$1.1k	107%	—	$1 – $10.9k
5	Humana fee schedule · outpatient · +24 other terms	258	$362	$533	$523	98%	—	$1 – $3.9k
6	Cigna fee schedule · outpatient · +26 other terms	248	$694	$886	$671	76%	—	$311 – $3.8k
7	Molina fee schedule · outpatient · +20 other terms	137	$447	$481	$183	38%	—	$1 – $1.9k
8	WellCare fee schedule · outpatient · +16 other terms	132	$361	$408	$122	30%	—	$252 – $837
9	Ambetter facility · fee schedule · outpatient · +14 other terms	79	$616	$634	$137	22%	—	$363 – $929
10	Devoted fee schedule · outpatient · +11 other terms	73	$362	$360	$20	6%	—	$318 – $396
11	Kaiser fee schedule · outpatient · +16 other terms	66	$544	$699	$500	72%	—	$349 – $3.0k
12	Tricare fee schedule · outpatient · +12 other terms	49	$354	$380	$61	16%	—	$259 – $447
13	MultiPlan fee schedule · outpatient · +15 other terms	47	$2.3k	$1.8k	$1.4k	77%	—	$335 – $4.0k
14	Optum fee schedule · outpatient · +12 other terms	41	$349	$1.0k	$1.1k	114%	—	$317 – $4.5k
15	Oscar fee schedule · outpatient · +16 other terms	41	$727	$685	$150	22%	—	$411 – $996
16	Clover facility · fee schedule · outpatient · +4 other terms	36	$367	$359	$27	8%	—	$304 – $421
17	Highmark facility · fee schedule · outpatient · +12 other terms	35	$713	$714	$422	59%	—	$259 – $1.9k
18	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.3k	$1.3k	$567	42%	—	$335 – $2.8k
19	Medicare fee schedule · outpatient · +12 other terms	30	$349	$350	$8	2%	—	$340 – $389
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	27	$955	$963	$722	75%	—	$333 – $2.1k
21	Caresource fee schedule · outpatient · +13 other terms	27	$359	$396	$110	28%	—	$1 – $596
22	First Health fee schedule · outpatient · +15 other terms	25	$498	$1.3k	$1.3k	99%	—	$335 – $3.5k
23	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	21	$368	$361	$9	2%	—	$350 – $369
24	Medica fee schedule · outpatient · +16 other terms	20	$1.5k	$1.6k	$788	50%	—	$368 – $3.5k
25	Medicaid facility · fee schedule · outpatient · +10 other terms	19	$304	$318	$21	7%	—	$304 – $351

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