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
3d bn img algor drvd fr mri
Low
$99
Average
$145
Median
$145
High
$372
Each hospital's average Humana rate, under the methodology and billing class chosen below.
285 hospitals; the 90th percentile is 1.3× 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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287 hospital rates
iThe hospitals that file a Humana 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 2 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $135 | $135 | — | — | — | $135 – $135 |
| 3 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 4 | AdventHealth Deland Deland, FL fee schedule · outpatient | 2 | $145 | $145 | $5 | 3% | — | $140 – $149 |
| 5 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 6 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 2 | $143 | $143 | $4 | 2% | — | $140 – $147 |
| 7 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 2 | $145 | $145 | $5 | 3% | — | $140 – $149 |
| 8 | Adventhealth Hendersonville Hendersonville, NC fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 2 | $145 | $145 | $5 | 3% | — | $140 – $149 |
| 10 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 11 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 12 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 13 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 16 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 17 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 18 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 19 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $152 | $152 | — | — | — | $152 – $152 |
| 20 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 21 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 22 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 23 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 25 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
← Payers reporting HCPCS G0566 · Snapshot 20261112T124536Z-e251e855