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 W/O CONTRAST
Lakewood, CO
See all hospitals reporting HCPCS C8904 →Price type
Orthocolorado, Llc’s median price of $815 is 26% below the median hospital's median price ($1.1k), higher than 42% 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: 6 payers, 14 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 | Kaiser commercial hmo per diem · outpatient | $420 | $420 | — | — | — | $420 – $420 |
| 2 | Aetna commercial whole health per diem · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 3 | Cigna commercial local plus case rate · outpatient | $544 | $544 | — | — | — | $544 – $544 |
| 4 | Cigna commercial ppo/pos/hmo per diem · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 5 | Aetna commercial ppo/pos/hmo per diem · outpatient | $615 | $615 | $1 | 0% | — | $614 – $615 |
| 6 | Anthem commercial ppo/pos/hmo per diem · outpatient | $746 | $746 | — | — | — | $746 – $746 |
| 7 | MultiPlan commercial complementary per diem · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 8 | MultiPlan commercial primary per diem · outpatient | $815 | $815 | — | — | — | $815 – $815 |
| 9 | Kaiser commercial hmo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | UnitedHealthcare commercial navigate epo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | UnitedHealthcare commercial select epo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
Last updated: Feb 4, 2026
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