MRI abdomen without contrast at Northwest Hospital LLC

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

MRA-ABDOMEN WO

Tucson, AZ

See all hospitals reporting HCPCS C8901 →

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Pricing by billing methodology

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How this price compares nationally

Northwest Hospital LLC’s median price of $367 is 20% below the median hospital's median price ($458), higher than 41% of the 1,627 hospitals reporting HCPCS C8901. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C8901 at Northwest Hospital LLC

Negotiated rates from the hospital’s own file: 15 payers, 33 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 az medicaid facility · other · outpatient	$165	$165	—	—	—	$165 – $165
2	Magellan magellan medicaid az facility · other · outpatient	$173	$173	—	—	—	$173 – $173
3	Aetna node aetna mcr adv facility · fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
4	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
5	Humana node humana mcr adv facility · fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
6	UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient	$251	$251	—	—	—	$251 – $251
7	Tricare node tricare facility · fee schedule · outpatient	$255	$255	—	—	—	$255 – $255
8	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$256	$256	—	—	—	$256 – $256
9	Clover node clover health mcr adv facility · fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
10	Devoted node devoted health mcr adv facility · other · outpatient	$258	$258	—	—	—	$258 – $258
11	Magellan node magellan mcr adv facility · fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
12	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$263	$263	—	—	—	$263 – $263
13	Blue Cross Blue Shield bcbs pimaconnect facility · other · outpatient	$297	$297	—	—	—	$297 – $297
14	Blue Cross Blue Shield bcbs az ppo hmo nbr facility · other · outpatient	$312	$312	—	—	—	$312 – $312
15	Ambetter node az complete health ambetter exchange facility · fee schedule · outpatient	$359	$359	—	—	—	$359 – $359
16	UnitedHealthcare uhc hix facility · fee schedule · outpatient	$420	$420	—	—	—	$420 – $420
17	Blue Cross Blue Shield bcbs az work comp facility · other · outpatient	$423	$423	—	—	—	$423 – $423
18	UnitedHealthcare uhc navigate facility · fee schedule · outpatient	$444	$444	—	—	—	$444 – $444
19	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$525	$525	—	—	—	$525 – $525
20	Cigna cigna localflex facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
21	Cigna cigna localplus facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Cigna cigna hmo facility · case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
23	Aetna aetna asbait facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Aetna aetna qhp facility · percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k

Page 1 of 2 · 33 rates

Last updated: Apr 1, 2026

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