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 UPPER EXT W WO CONTRAST
Low
$194
Average
$572
Median
$385
High
$7.8k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
327 hospitals; the 90th percentile is 2.3× 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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366 hospital rates
iThe hospitals that file a WellCare 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 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 2 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $377 | $377 | $9 | 2% | — | $369 – $386 |
| 4 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 5 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 6 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 7 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 8 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 9 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 10 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $402 | $402 | $77 | 19% | — | $325 – $479 |
| 12 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 13 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 14 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $606 | $606 | — | — | — | $606 – $606 |
| 15 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $484 | $484 | — | — | — | $484 – $484 |
| 16 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $642 | $642 | — | — | — | $642 – $642 |
| 17 | BATON ROUGE GENERAL MEDICAL CENTER BATON ROUGE, LA fee schedule · both | 1 | $336 | $336 | $5 | 1% | — | $332 – $341 |
| 18 | Bartow Regional Medical Center Bartow, FL facility · case rate · outpatient | 1 | $502 | $502 | — | — | — | $502 – $502 |
| 19 | Baycare Hospital Wesley Chapel Chapel, FL facility · case rate · outpatient | 1 | $502 | $502 | — | — | — | $502 – $502 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 22 | Blue Hill Memorial Hospital Hill, ME facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Boston Medical Center Boston, MA other · both | 1 | $421 | $421 | — | — | — | $421 – $421 |
| 24 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 25 | Bristol Regional Medical Center BRISTOL, VA fee schedule · both | 1 | $351 | $351 | — | — | — | $351 – $351 |
← Payers reporting HCPCS C8936 · Snapshot 20261111T120946Z-9134e7f7