RC 611
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
MRI Brain W&W/O Cont
Low
$49
Average
$733
Median
$314
High
$5.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
282 hospitals; the 90th percentile is 7.6× 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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306 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $265 | $265 | $50 | 19% | 157–175 | $215 – $315 |
| 2 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $281 | $281 | $54 | 19% | 138 | $227 – $335 |
| 3 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $281 | $281 | $54 | 19% | 138 | $227 – $335 |
| 4 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $226 | $270 | $53 | 20% | 108–117 | $226 – $334 |
| 5 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 102 | $49 – $49 |
| 6 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 102 | $49 – $49 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $343 | $307 | $51 | 17% | 94–103 | $234 – $343 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $343 | $307 | $51 | 17% | 94–103 | $234 – $343 |
| 9 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $392 | $2.6k | $2.9k | 111% | 89 | $265 – $7.3k |
| 10 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $243 | $292 | $57 | 20% | 77–95 | $243 – $358 |
| 11 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $357 | $319 | $54 | 17% | 76 | $242 – $357 |
| 12 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $367 | $328 | $55 | 17% | 52 | $251 – $367 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $423 | $374 | $73 | 19% | 40 | $286 – $454 |
| 14 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $277 | $277 | $53 | 19% | 39 | $224 – $330 |
| 15 | Brigham and Women's Hospital Boston, MA other · both | 1 | $403 | $360 | $61 | 17% | 36–45 | $273 – $403 |
| 16 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 34–43 | $227 – $331 |
| 17 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 34–43 | $227 – $331 |
| 18 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $286 | $48 | 17% | 31–40 | $218 – $319 |
| 19 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $279 | $279 | $54 | 19% | 25–34 | $225 – $333 |
| 20 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $279 | $279 | $54 | 19% | 25–34 | $225 – $333 |
| 21 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $253 | $298 | $58 | 20% | 23–41 | $253 – $374 |
| 22 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $225 | $268 | $53 | 20% | 17–26 | $225 – $332 |
| 23 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $453 | $428 | $66 | 15% | 16–25 | $337 – $493 |
| 24 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $253 | $293 | $57 | 19% | 16–34 | $253 – $373 |
| 25 | Massachusetts General Hospital Boston, MA other · both | 1 | $338 | $338 | $65 | 19% | 13–22 | $273 – $403 |
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