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
MRI PELVIS W CONTRAST
Wheaton, MN
See all hospitals reporting CPT 72196 →Price type
Sanford Wheaton’s median price of $3.7k is 380% above the median hospital's median price ($777), higher than 97% of the 2,303 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: 8 payers, 27 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 medicaid managed care case rate · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $608 | $608 | — | — | — | $608 – $608 |
| 3 | Bcbs Mn commercial/federal fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 5 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 8 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 9 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 13 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 16 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 17 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 19 | Medica choice percent of total billed charges · inpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
Last updated: Mar 4, 2026
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