Breast MRI with contrast, one side at Allina Health Systems

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

HCHG RAD MRI BREAST W

Rapids, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $658 is 116% above the median hospital's median price ($305), higher than 73% of the 1,345 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C8903 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
2	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
3	Medicare medicare (m) facility · fee schedule · outpatient	$181	$181	—	—	—	$181 – $181
4	Medica medica medicare (m) facility · fee schedule · outpatient	$188	$188	—	—	—	$188 – $188
5	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
6	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$213	$213	—	—	—	$213 – $213
7	Bcbs Mn bc pmap (amu) facility · other · outpatient	$239	$239	—	—	—	$239 – $239
8	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$368	$368	—	—	—	$368 – $368
9	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$406	$406	—	—	—	$406 – $406
10	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$537	$537	—	—	—	$537 – $537
11	Bcbs Mn bc premier (m u) facility · other · outpatient	$570	$570	—	—	—	$570 – $570
12	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$644	$644	—	—	—	$644 – $644
13	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$671	$671	—	—	—	$671 – $671
14	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$686	$686	—	—	—	$686 – $686
15	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$720	$720	—	—	—	$720 – $720
16	Medica medica dual solutions (m) facility · case rate · outpatient	$855	$855	—	—	—	$855 – $855
17	Medica medica elect (u m) facility · case rate · outpatient	$860	$860	—	—	—	$860 – $860
18	Medica medica essentials (u m) facility · case rate · outpatient	$898	$898	—	—	—	$898 – $898
19	Medica medica mhps (u m) facility · case rate · outpatient	$898	$898	—	—	—	$898 – $898
20	Medica medica choice (u m) facility · case rate · outpatient	$945	$945	—	—	—	$945 – $945
21	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$999	$999	—	—	—	$999 – $999
22	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
24	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
25	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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