MRI pelvis without and with contrast dye at Hilo Benioff Medical Center

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 PELVIS W/O & W/CONTRAST MATERIAL

Hilo, HI

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Pricing by billing methodology

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How this price compares nationally

Hilo Benioff Medical Center’s median price of $380 is 57% below the median hospital's median price ($879), higher than 13% of the 2,630 hospitals reporting CPT 72197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72197 at Hilo Benioff Medical Center

Negotiated rates from the hospital’s own file: 4 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	UnitedHealthcare medicaid professional · fee schedule · both	$230	$230	—	—	—	$230 – $230
2	UnitedHealthcare medicare professional · fee schedule · both	$264	$245	$109	44%	—	$103 – $367
3	Devoted medicare professional · fee schedule · both	$291	$269	$120	44%	—	$114 – $404
4	Kaiser commercial professional · fee schedule · both	$317	$294	$130	44%	—	$124 – $441
5	Kaiser medicaid professional · fee schedule · both	$317	$294	$130	44%	—	$124 – $441
6	Kaiser medicare professional · fee schedule · both	$317	$294	$130	44%	—	$124 – $441
7	Humana medicare facility · fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
8	Kaiser medicare facility · fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
9	UnitedHealthcare medicare facility · fee schedule · outpatient	$412	$412	—	—	—	$412 – $412
10	Devoted medicare facility · fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
11	UnitedHealthcare medicaid facility · fee schedule · outpatient	$709	$709	—	—	—	$709 – $709
12	Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges	$906	$906	—	—	—	$906 – $906
13	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Jun 15, 2026

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