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
Hc Mri Breast Uni Wo Contrast - C8904 - 61000031
Palma, CA
See all hospitals reporting HCPCS C8904 →Price type
La Palma Intercommunity Hospital’s median price of $359 is 67% below the median hospital's median price ($1.1k), higher than 21% of the 194 hospitals reporting HCPCS C8904. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Blue Cross Blue Shield blue shield of promise medicare fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 2 | Molina molina exchange fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 3 | Molina molina medicare fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 4 | Tricare health net federal services tricare fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 5 | Tricare tricare fee schedule · outpatient | $359 | $359 | — | — | — | $359 – $359 |
| 6 | Aetna coventry - fka aetna - workers compensation fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
Last updated: Sep 1, 2026
See MRI of one breast without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.