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 w/o fol w/cont, brst, un
Maple Grove, MN
See all hospitals reporting HCPCS C8905 →Price type
Fairview Maple Grove Surgery Center’s median price of $262 is 58% below the median hospital's median price ($619), higher than 1% of the 1,566 hospitals reporting HCPCS C8905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 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 fee schedule · both | $146 | $146 | — | — | — | $146 – $146 |
| 2 | UnitedHealthcare medicare advantage fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Medicaid medicaid fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 4 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Ucare mhcp fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 6 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 7 | Ucare ifp with fairview fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 8 | Ucare ifp fee schedule · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 9 | Blue Cross Blue Shield federal fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 10 | Blue Cross Blue Shield commercial fee schedule · outpatient | $546 | $546 | — | — | — | $546 – $546 |
| 11 | Ucare mhcp fee schedule · both | $786 | $622 | $340 | 55% | — | $149 – $932 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $893 | $707 | $386 | 55% | — | $169 – $1.1k |
| 13 | Cigna commercial fee schedule · outpatient | $1.0k | $1.0k | $89 | 9% | — | $937 – $1.1k |
Last updated: May 18, 2026
See Breast MRI without and with contrast, one side pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.