MRI of both breasts with and without contrast at Southcoast Hospitals Group, Inc.

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

HC MRI Breast W/Out&With Contrast W/Cad Bilateral

River, MA

See all payers reporting CPT 77049 →

Payers reporting CPT 77049 at Southcoast Hospitals Group, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 11 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 managed care [101030101] fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
2	Blue Cross Blue Shield bcbs mass medicare managed care [101030201] fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
3	UnitedHealthcare united medicare managed care [101031001] fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
4	UnitedHealthcare united health one care [101031004] fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
5	UnitedHealthcare united healthcare [101080105] fee schedule · outpatient	$385	$385	—	—	—	$385 – $385
6	Cigna cigna [100011201] case rate · outpatient	$853	$853	—	—	—	$853 – $853
7	Bcbs Ma bcbs massachusetts hmo [101040122] fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
8	Bcbs Ri bcbs rhode island hmo [101050101] percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$117	9%	—	$1.2k – $1.5k
9	Phcs phcs [100012501] percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	$188	9%	—	$2.0k – $2.4k
10	Aetna aetna [100010801] percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	$220	9%	—	$2.3k – $2.8k
11	First Health first health [100013001] percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	$220	9%	—	$2.3k – $2.8k