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 UNI W W/O CONTRAST
Low
$282
Average
$1.1k
Median
$1.1k
High
$2.5k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 7.1× 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.
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27 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | COMMONSPIRIT OREGON Roseburg, OR fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 4 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 8 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 9 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 10 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $282 | $282 | — | — | — | $282 – $282 |
| 11 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 12 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $1.0k | $931 | $139 | 15% | — | $690 – $1.0k |
| 13 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $392 | 30% | — | $690 – $1.8k |
| 14 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $1.1k | $1.0k | $194 | 19% | — | $670 – $1.1k |
| 15 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $1.0k | $926 | $159 | 17% | — | $651 – $1.0k |
| 16 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $1.3k | $1.3k | $41 | 3% | — | $1.2k – $1.3k |
| 17 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · outpatient | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 18 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 22 | Samaritan Hospital Troy, NY facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $778 | $778 | — | — | — | $778 – $778 |
| 24 | St. Francis Hospital Inc Wilmington, DE facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $1.4k | $1.3k | $394 | 30% | — | $690 – $1.8k |
← Payers reporting HCPCS C8905 · Snapshot 20261111T120946Z-9134e7f7