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
QUAN MRI ALYS BRN W/O DX MRI
Pittsburgh, PA
See all hospitals reporting CPT 0865T →Price type
UPMC Presbyterian’s median price of $726 is 140% above the median hospital's median price ($302), higher than 96% of the 1,153 hospitals reporting CPT 0865T. 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, 18 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 chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $180 | $180 | — | — | — | $180 – $180 |
| 2 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 3 | Cigna medicare transplant facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 7 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $501 | $501 | — | — | — | $501 – $501 |
| 8 | Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 9 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $511 | $511 | — | — | — | $511 – $511 |
| 10 | Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges | $531 | $531 | — | — | — | $531 – $531 |
| 11 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $531 | $531 | — | — | — | $531 – $531 |
| 12 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $701 | $701 | — | — | — | $701 – $701 |
| 13 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $701 | $701 | — | — | — | $701 – $701 |
| 14 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $801 | $801 | — | — | — | $801 – $801 |
| 15 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $801 | $801 | — | — | — | $801 – $801 |
| 16 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $851 | $851 | — | — | — | $851 – $851 |
| 17 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $851 | $851 | — | — | — | $851 – $851 |
| 18 | Highmark upmc emergent facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 6, 2026
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