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 Bilat W&W/O Contrast
Low
$212
Average
$446
Median
$345
High
$4.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
183 hospitals; the 90th percentile is 1.4× 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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188 hospital rates
iThe hospitals that file a Tricare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $450 | $450 | $28 | 6% | 67 | $423 – $478 |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $466 | $466 | — | — | 62 | $466 – $466 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 27 | $343 – $343 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 27 | $343 – $343 |
| 5 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $319 | — | — | 11 | $319 – $319 |
| 6 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 7 | Brigham and Women's Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 8 | MVHS, Inc. Utica, NY other · outpatient | 1 | $401 | $401 | — | — | 1–10 | $401 – $401 |
| 9 | Massachusetts General Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 12 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $314 | $314 | $8 | 3% | 1–10 | $306 – $323 |
| 13 | Newton Wellesley Hospital Newton, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 14 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $392 | $392 | — | — | 1–10 | $392 – $392 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $315 | $315 | — | — | 1–10 | $315 – $315 |
| 16 | Salem Hospital Salem, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 17 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $322 | $322 | — | — | 1–10 | $322 – $322 |
| 18 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 19 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 20 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $340 | $340 | — | — | — | $340 – $340 |
| 21 | Ascension Cedar Park Park, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 22 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 23 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 24 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 25 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
← Payers reporting HCPCS C8908 · Snapshot 20261111T120946Z-9134e7f7