CPT 76390

MRI/MRA - Other

Current code38 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for CPT 76390 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$859$2,148
Coulee Medical CenterGrand Coulee—$2,528$2,809
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$938$2,344
Harborview Medical CenterSeattleFile dated 2026-04-01—$2,246$3,208
Highline Medical CenterBurienFile dated 2026-02-28—$762$2,495
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$1,253$1,790
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$1,074$2,685
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$1,074$2,685
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$1,074$2,685
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1,074$2,685
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$938$2,344
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$2,015$2,878
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$2,121$3,030
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$572$1,100
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$1,352$1,932
St Anthony HospitalGig HarborFile dated 2026-02-28—$759$2,495
St Clare HospitalLakewoodFile dated 2026-02-28—$719$2,495
St Elizabeth HospitalEnumclawFile dated 2026-02-28$699 – $8285 plans$882$2,495
St Francis Community HospitalFederal WayFile dated 2026-02-28—$783$2,495
St Joseph Medical CenterTacomaFile dated 2026-02-28—$826$2,495
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,101$2,495
Swedish IssaquahIssaquahFile dated 2026-04-01—$1,167$2,431
Swedish Medical CenterSeattleFile dated 2026-04-01—$1,167$2,431
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$1,167$2,431
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,074$2,685
University of Washington Medical CtrSeattleFile dated 2026-04-01—$1,625$2,321
Virginia Mason Medical CenterSeattle—$1,007$1,974
Yakima Valley MemorialYakimaFile dated 2026-08-27—$753$1,883

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$88.91 (APC 5521)
Surgery center payment (national)
$48.98