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
Max MRI image capture
Low
$97
Average
$109
Median
$111
High
$120
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 1.2× 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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75 hospital rates
iThe hospitals that file a Devoted 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 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 2 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 3 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 4 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 6 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 7 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 8 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 2 | $107 | $107 | — | — | — | $107 – $107 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 13 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 14 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 2 | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $115 | $115 | — | — | — | $115 – $115 |
| 17 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 19 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 20 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 21 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 22 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 23 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $97 | $97 | — | — | — | $97 – $97 |
| 24 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 2 | $100 | $100 | — | — | — | $100 – $100 |
| 25 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 2 | $100 | $100 | — | — | — | $100 – $100 |
← Payers reporting HCPCS D0385 · Snapshot 20261112T124536Z-e251e855