MRI of both breasts with and without contrast at Blessing Hospital

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

CHG MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL

Quincy, IL

See all payers reporting CPT 77049 →

Payers reporting CPT 77049 at Blessing Hospital

Negotiated rates from the hospital’s own file: 7 payers, 21 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.

Filter by billing methodology

Filter by billing class

#
1	Aetna commercial professional · case rate · both	$214	$213	$87	41%	—	$106 – $320
2	UnitedHealthcare medicare advantage professional · case rate · both	$214	$213	$87	41%	—	$106 – $320
3	UnitedHealthcare commercial professional · fee schedule · both	$253	$239	$104	44%	—	$105 – $358
4	Blue Cross Blue Shield commercial professional · fee schedule · both	$405	$391	$166	42%	—	$181 – $586
5	Bcbs Il commercial professional · fee schedule · both	$478	$476	$195	41%	—	$237 – $714
6	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$593	$593	—	—	—	$593 – $593
7	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$603	$603	—	—	—	$603 – $603
8	Bcbs Il commercial facility · percent of total billed charges · inpatientfrom % of charges	$604	$604	—	—	—	$604 – $604
9	Bcbs Il commercial facility · percent of total billed charges · outpatientfrom % of charges	$604	$604	—	—	—	$604 – $604
10	Bcbs Mo commercial facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	—	—	—	$704 – $704
11	Bcbs Mo commercial facility · percent of total billed charges · outpatientfrom % of charges	$704	$704	—	—	—	$704 – $704
12	Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges	$704	$704	—	—	—	$704 – $704
13	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$704	$704	—	—	1–10	$704 – $704
14	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
15	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
16	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
18	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
19	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$751	$751	—	—	—	$751 – $751
20	Humana commercial professional · percent of total billed charges · bothfrom % of charges	$880	$880	—	—	—	$880 – $880
21	Cigna commercial professional · percent of total billed charges · bothfrom % of charges	$939	$939	—	—	—	$939 – $939