Low-field MRI scan

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Magnetic resonance imaging (mri), low-field

Payers reporting HCPCS S8042

Payer pricing summary

Low

Average

$346

Median

$229

High

$1.2k

Payer rate distribution

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#
1	Aetna other · outpatient · +9 other terms	55	$1.6k	$1.7k	$684	40%	—	$946 – $5.1k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	36	$927	$1.1k	$583	54%	—	$33 – $2.8k
3	Molina facility · case rate · outpatient · +5 other terms	27	$220	$225	$61	27%	—	$153 – $392
4	UnitedHealthcare fee schedule · outpatient · +4 other terms	18	$1	$94	$443	470%	—	$1 – $3.2k
5	Anthem facility · case rate · outpatient · +6 other terms	15	$231	$253	$59	23%	—	$157 – $392
6	Caresource facility · case rate · outpatient · +1 other terms	15	$236	$253	$58	23%	—	$157 – $400
7	Optum facility · case rate · outpatient	13	$209	$225	$60	27%	—	$145 – $355
8	Wellmark fee schedule · both · +1 other terms	13	$164	$164	—	—	—	$164 – $164
9	Humana fee schedule · outpatient · +3 other terms	9	$319	$328	$11	3%	—	$319 – $342
10	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$328	$328	—	—	—	$328 – $328
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$168	$171	$5	3%	—	$168 – $184
12	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$624	$648	$38	6%	—	$619 – $702
13	Cigna fee schedule · outpatient	3	$731	$731	$27	4%	—	$705 – $758
14	First Health professional · fee schedule · both	3	$234	$234	$101	43%	—	$104 – $351
15	Medicaid facility · case rate · outpatient	2	$153	$153	—	—	—	$153 – $153
16	Bcbs Id professional · fee schedule · outpatient	1	$183	$183	$51	28%	—	$132 – $234
17	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Bcbs Mn fee schedule · outpatient	1	$139	$139	$61	44%	—	$49 – $194
19	Bcbs Nv fee schedule · outpatient	1	$114	$114	$59	52%	—	$33 – $171
20	Bcbs Vt professional · fee schedule · outpatient	1	$213	$213	$85	40%	—	$128 – $298
21	Highmark fee schedule · outpatient	1	$781	$781	$325	42%	—	$551 – $1.2k
22	WellCare facility · case rate · outpatient	1	$153	$153	—	—	—	$153 – $153