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

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS C9791 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1,389 – $1,5286 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1,337 – $1,4708 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$1,417 – $1,5595 plans——
Island HospitalAnacortes$1,461 – $1,54811 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1,364 – $1,6377 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$1,405 – $1,5286 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$1,400 – $1,5407 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$1,393 – $1,5327 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$1,393 – $1,5327 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$1,400 – $1,5407 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1,377 – $1,4707 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$1,534 – $1,9725 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$1,421 – $1,4783 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1,364 – $1,6377 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1,417 – $2,2687 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1,364 – $1,5005 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1,394 – $1,5336 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$1,364 – $1,5006 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$1,408 – $2,2527 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1,394 – $1,6738 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$1,421 – $1,7068 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$1,417 – $1,7018 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1,417 – $1,7018 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$1,400 – $1,5407 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$1,417 – $1,5595 plans——
Virginia Mason Medical CenterSeattle$954 – $1,4309 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$1,432 – $1,6038 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, 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)
$1,251 (APC 1551)