HCPCS C9791
Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
Current codeMRI/MRA - Other28 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $1,251 – $3,449 | — | — |
| Deaconess Medical Center | $1,251 – $5,577 | — | — |
| Harborview Medical Center | $2,268 – $3,017 | — | — |
| Island Hospital | $1,650 – $2,629 | — | — |
| Kadlec Regional Medical Center | $2,305 – $4,495 | — | — |
| Legacy Salmon Creek Medical Center | $2,728 – $5,166 | — | — |
| Mary Bridge Children's Hospital | $2,343 – $9,835 | — | — |
| MultiCare Auburn Medical Center | $1,251 – $6,026 | — | — |
| MultiCare Covington Medical Center | $1,251 – $6,026 | — | — |
| MultiCare Good Samaritan Hospital | $1,251 – $6,026 | — | — |
| MultiCare Valley Hospital | $1,251 – $5,565 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,563 – $4,618 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $2,305 – $4,525 | — | — |
| Providence Centralia Hospital | $2,395 – $9,623 | — | — |
| Providence Holy Family Hospital | $1,637 – $5,000 | — | — |
| Providence Regional Medical Center Everett | $1,673 – $4,767 | — | — |
| Providence St Mary Medical Center | $1,163 – $5,907 | — | — |
| Providence St Peter Hospital | $1,197 – $5,499 | — | — |
| Swedish Edmonds Hospital | $2,091 – $5,019 | — | — |
| Swedish Issaquah | $2,132 – $6,029 | — | — |
| Swedish Medical Center | $2,126 – $6,012 | — | — |
| Swedish Medical Center / Cherry Hill | $2,126 – $6,012 | — | — |
| Tacoma General Allenmore Hospital | $1,251 – $6,026 | — | — |
| University of Washington Medical Ctr | $2,268 – $5,492 | — | — |
| Virginia Mason Medical Center | $3,382 – $4,614 | — | — |
| Wellfound Behavioral Health Hospital | $3,605 | — | — |
| Yakima Valley Memorial | $2,291 – $4,385 | — | — |
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)
- $1,251 (APC 1551)