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
Woonsocket, RI
See all hospitals reporting HCPCS C8904 →Price type
Landmark Medical Center’s median price of $314 is 71% below the median hospital's median price ($1.1k), higher than 16% 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: 5 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna medicare fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 2 | Humana humana military tricare fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 3 | Tricare tricare fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 4 | UnitedHealthcare uhc medicare fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 5 | UnitedHealthcare uhc va ccn fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 6 | WellCare wellcare medicare fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
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.