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
PR MRI PELVIS W CNTRST
Rochester, MN
See all hospitals reporting CPT 72196 →Price type
Mayo Clinic’s median price of $974 is 25% above the median hospital's median price ($778), higher than 60% of the 2,327 hospitals reporting CPT 72196. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 54 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $143 | $143 | $79 | 55% | — | $64 – $221 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $154 | $154 | $85 | 55% | — | $69 – $239 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $175 | $175 | $97 | 55% | — | $78 – $271 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $175 | $175 | $97 | 55% | — | $78 – $271 |
| 5 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $178 | $178 | $99 | 55% | — | $80 – $277 |
| 6 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $178 | $178 | $99 | 55% | — | $80 – $277 |
| 7 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $180 | $180 | $100 | 55% | — | $80 – $280 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $183 | $183 | $102 | 55% | — | $82 – $285 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $183 | $183 | $102 | 55% | — | $82 – $285 |
| 10 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $187 | $187 | $104 | 55% | — | $83 – $290 |
| 11 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $201 | $201 | $111 | 55% | — | $90 – $312 |
| 12 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $201 | $201 | $111 | 55% | — | $90 – $312 |
| 13 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $262 | $262 | $145 | 55% | — | $117 – $407 |
| 14 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $884 – $3.1k |
| 15 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $884 – $3.1k |
| 16 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $888 – $3.1k |
| 17 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 18 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 19 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 20 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 21 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 22 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 23 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 24 | Medica medica ifb midlands choice ia and ne [48] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
| 25 | Medica medica non mayo employees group [755] professional · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 55% | — | $904 – $3.1k |
Last updated: Aug 14, 2026
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