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 Mra-Spine With Contrast
Low
$311
Average
$867
Median
$352
High
$6.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 1.8× 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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59 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 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 4 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 5 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 6 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 7 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 9 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 10 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 11 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 12 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 13 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $344 | $344 | — | — | — | $344 – $344 |
| 14 | Dallas Medical Center Dallas, TX fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 15 | Dallas Regional Medical Center Mesquite, TX fee schedule · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 16 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 17 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 18 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $317 | $317 | — | — | — | $317 – $317 |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 20 | Garden Grove Hospital Medical Center Grove, CA fee schedule · outpatient | 1 | $447 | $447 | — | — | — | $447 – $447 |
| 21 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $366 | $366 | — | — | — | $366 – $366 |
| 22 | Huntington Beach Hospital Beach, CA fee schedule · outpatient | 2 | $447 | $447 | — | — | — | $447 – $447 |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · case rate · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 24 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · case rate · outpatient | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 25 | IOM Health System LP Fort Wayne, IN facility · fee schedule · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
← Payers reporting HCPCS C8931 · Snapshot 20261111T120946Z-9134e7f7