Breast MRI with contrast, both sides

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 Bilat W/Contrast

Tricare pricing summary

Low

$266

Average

$394

Median

$342

High

$3.7k

Tricare rate distribution

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118 hospital rates

#		Plans
1	PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both	1	$332	$332	—	—	30	$332 – $332
2	PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both	1	$334	$334	—	—	29	$334 – $334
3	PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both	1	$330	$330	—	—	28	$330 – $330
4	PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both	1	$333	$333	—	—	1–10	$333 – $333
5	PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both	1	$353	$353	—	—	1–10	$353 – $353
6	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$303	$303	—	—	—	$303 – $303
7	Ascension Seton Austin, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
8	Ascension Seton Austin, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
9	Ascension Seton Austin, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
10	Ascension Seton Luling, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
11	Ascension Seton Burnet, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
12	Ascension Seton Smithville, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
13	Ascension Seton Bastrop, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
14	Ascension Seton Austin, TX fee schedule · outpatient	1	$439	$439	—	—	—	$439 – $439
15	Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient	1	$352	$352	—	—	—	$352 – $352
16	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient	1	$344	$344	—	—	—	$344 – $344
17	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$339	$339	—	—	—	$339 – $339
18	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$339	$339	—	—	—	$339 – $339
19	Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient	1	$309	$309	—	—	—	$309 – $309
20	Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient	1	$345	$345	—	—	—	$345 – $345
21	Centinela Hospital Medical Center Inglewood, CA fee schedule · outpatient	1	$447	$447	—	—	—	$447 – $447
22	CentraState Medical Center Freehold Township, NJ fee schedule · both	2	$272	$272	$14	5%	—	$257 – $286
23	CentraState Medical Center Freehold Township, NJ fee schedule · outpatient	2	$272	$272	$14	5%	—	$257 – $286
24	Chilton Medical Center Pompton Plains, NJ fee schedule · both	2	$266	$266	$5	2%	—	$260 – $271
25	Chilton Medical Center Pompton Plains, NJ fee schedule · outpatient	2	$266	$266	$5	2%	—	$260 – $271