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
Mra Chest W&W/O Contrast
Low
$299
Average
$854
Median
$754
High
$2.1k
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 6.0× 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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31 hospital rates
iThe hospitals that file a Excellus 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 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $637 | $609 | $177 | 29% | — | $380 – $782 |
| 2 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $990 | $990 | $212 | 21% | — | $778 – $1.2k |
| 3 | Highland Hospital Rochester, NY fee schedule · outpatient | 3 | $614 | $574 | $57 | 10% | — | $494 – $614 |
| 4 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $847 | $847 | — | — | — | $847 – $847 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $926 | $926 | — | — | — | $926 – $926 |
| 7 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $466 | $466 | — | — | — | $466 – $466 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 10 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $466 | $466 | — | — | — | $466 – $466 |
| 11 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 12 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 13 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 14 | Mount Carmel St Ann's Lewis Center, OH facility · fee schedule · both | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 15 | Nicholas H. Noyes Memorial Hospital Dansville, NY fee schedule · outpatient | 2 | $754 | $754 | — | — | — | $754 – $754 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 19 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $312 | $312 | — | — | — | $312 – $312 |
| 20 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $1.1k | $947 | $291 | 31% | — | $535 – $1.2k |
| 21 | Samaritan Hospital Troy, NY facility · other · both | 1 | $479 | $479 | — | — | — | $479 – $479 |
| 22 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $951 | $1.1k | $704 | 67% | — | $319 – $2.0k |
| 23 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 3 | $505 | $505 | — | — | — | $505 – $505 |
| 24 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
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