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
CHG MR SAFETY DETERMINATION PHYSICIAN/OTHER QHP (26)
Dubuque, IA
See all hospitals reporting CPT 76016 →Price type
The Finley Hospital’s median price of $69 is 42% below the median hospital's median price ($119), higher than 6% of the 1,645 hospitals reporting CPT 76016. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage fee schedule · both | $40 | $44 | $17 | 38% | — | $26 – $66 |
| 2 | Molina medicare advantage fee schedule · both | $41 | $45 | $17 | 38% | — | $27 – $67 |
| 3 | Wellmark medicare advantage fee schedule · both | $41 | $45 | $17 | 38% | — | $27 – $67 |
| 4 | Humana medicare advantage fee schedule · both | $42 | $46 | $17 | 38% | — | $27 – $69 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $42 | $46 | $17 | 38% | — | $27 – $69 |
| 6 | Wellmark commercial fee schedule · both | $78 | $84 | $32 | 38% | — | $48 – $126 |
| 7 | Wellmark hmo fee schedule · both | $78 | $84 | $32 | 38% | — | $48 – $126 |
| 8 | Aetna medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 9 | Molina medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 10 | Wellmark medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Humana medicare advantage case rate · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 13 | Wellmark ppo fee schedule · both | $91 | $99 | $38 | 38% | — | $56 – $148 |
| 14 | UnitedHealthcare hmo fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 15 | UnitedHealthcare ppo fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 16 | Aetna hmo fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 17 | Aetna ppo fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
Last updated: Jan 28, 2026
See MRI safety screening and implant review by physician pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.