Functional brain MRI with physician-supervised neurotesting at Ascension Providence

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

FMRI BRAIN BY PHYS/PSYCH

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $242 is 45% below the median hospital's median price ($436), higher than 15% of the 1,493 hospitals reporting CPT 70555. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70555 at Ascension Providence

Negotiated rates from the hospital’s own file: 6 payers, 14 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	Tricare 877_tricare outpatient 20250101 other · outpatient	$237	$237	—	—	—	$237 – $237
2	Tricare 986_tricare inpatient 20251001 other · inpatient	$237	$237	—	—	—	$237 – $237
3	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$237	$237	—	—	—	$237 – $237
4	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$237	$237	—	—	—	$237 – $237
5	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$242	$242	—	—	—	$242 – $242
6	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$242	$242	—	—	—	$242 – $242
7	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$242	$242	—	—	—	$242 – $242
8	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$242	$242	—	—	—	$242 – $242
9	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient	$272	$272	—	—	—	$272 – $272
10	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$355	$355	—	—	—	$355 – $355
11	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$355	$355	—	—	—	$355 – $355
12	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$639	$639	—	—	—	$639 – $639
13	Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · both	$681	$681	—	—	—	$681 – $681
14	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$712	$712	—	—	—	$712 – $712

Last updated: Jan 1, 2026

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