Seattle Children's Hospital

SeattleKing CountyChildrens

Abdomen MRI without contrast

Quality: not rated by CMSEarliest available date: call (206) 987-2000

What you may pay

With insurance from an employer or private plan: $115 – $5,535At least one plan lists 7 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.
Paying yourself (cash price): $286 – $5,765The hospital lists 7 separate amounts for this procedure. They may be parts of one bill that you pay together (for example the hospital’s fee and the fee of the doctor who reads a scan) or alternatives (inpatient or outpatient). We don’t show one price or compare it until we can tell which; every line is listed below. Ask the hospital which lines apply to you.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Seattle Children's Hospital’s own price file. CareNavIQ last refreshed prices on 2026-11-05.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment and technologist	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	Billed separately; amount estimated	$72	$85 to $129
Ordering doctor's visitThe visit where the MRI is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $47 to $55 of about $233 to $277 billed to your plan.

Your share of the hospital's bill is about $30; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's chargeThe hospital's price file doesn't list one charge for this; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$148
Your plan pays
$118
Your coinsurance
$29.58
You oweThe provider bills you this after the insurer pays.
$29.58
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$85.20
Your plan pays
$68.16
Your coinsurance
$17.04
You oweThe provider bills you this after the insurer pays.
$17.04

All bills: allowed amounts: $233
Your plan pays: $187
You owe in all: $46.62

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

Seattle Children's Hospital

The largest bill.

Request to send

Subject: Estimate request: abdomen mri without contrast at Seattle Children's Hospital

Hello,

I am planning a abdomen mri without contrast (billing code CPT 74181) at Seattle Children's Hospital.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (206) 987-2000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my abdomen mri without contrast."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

1,115 published prices, grouped by who each price applies to.

Cash price 9 prices

The hospital's discounted price for patients paying without insurance.

Cash price prices for Abdomen MRI without contrast at Seattle Children's Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$286	Hospital’s fee	MRI, Abdomen (MRI)	—	Inpatient or outpatient	—
$3,491	Hospital’s fee	MRI Abdomen Limited	—	Inpatient or outpatient	—
$3,491	Hospital’s fee	MRI Abdomen Limited	—	Outpatient	—
$3,630	Hospital’s fee	MRI Liver Iron Quantification	—	Inpatient or outpatient	—
$3,945	Hospital’s fee	MRI Liver Cardiac Quantification	—	Inpatient or outpatient	—
$4,612	Hospital’s fee	MRI Abdomen W/O Contrast	—	Outpatient	—
$4,612	Hospital’s fee	MRCP	—	Inpatient or outpatient	—
$5,020	Hospital’s fee	MRI Liver Cardiac Quantification	—	Outpatient	—
$5,765	Hospital’s fee	MRI Mrcp With Secretin	—	Outpatient	—

List price (before discounts) 10 prices

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Abdomen MRI without contrast at Seattle Children's Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$285	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	—	Inpatient or outpatient	—
$286	Hospital’s fee	MRI, Abdomen (MRI)	—	Inpatient or outpatient	—
$3,491	Hospital’s fee	MRI Abdomen Limited	—	Outpatient	—
$3,491	Hospital’s fee	MRI Abdomen Limited	—	Inpatient or outpatient	—
$3,630	Hospital’s fee	MRI Liver Iron Quantification	—	Inpatient or outpatient	—
$3,945	Hospital’s fee	MRI Liver Cardiac Quantification	—	Inpatient or outpatient	—
$4,612	Hospital’s fee	MRCP	—	Inpatient or outpatient	—
$4,612	Hospital’s fee	MRI Abdomen W/O Contrast	—	Outpatient	—
$5,020	Hospital’s fee	MRI Liver Cardiac Quantification	—	Outpatient	—
$5,765	Hospital’s fee	MRI Mrcp With Secretin	—	Outpatient	—

Commercial insurance 889 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Abdomen MRI without contrast at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
ADMINISTRATORS [13102]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$2,792	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$2,792	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$2,904	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$3,156	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$3,690	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$3,690	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$4,016	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice EHN	$4,612	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice Puget Sound High Value	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ADMINISTRATORS [13102]	First Choice Puget Sound High Value	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
AETNA [11000]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
AETNA [11000]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
AETNA [11000]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
AETNA [11000]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
AETNA [11000]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
AETNA [11000]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
AETNA [11000]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
AETNA [11000]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ALLEGIANCE [12264]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ALLIED [13129]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ALLIED [13129]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ALLIED [13129]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ALLIED [13129]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ALLIED [13129]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ALLIED [13129]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ALLIED [13129]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ALLIED [13129]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ALLIED [13129]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ALLIED [13129]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
AMERIBEN [11006]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
AMERIBEN [11006]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
AMERIBEN [11006]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
AMERIBEN [11006]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
AMERIBEN [11006]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
AMERIBEN [11006]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
AMERIBEN [11006]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
AMERIBEN [11006]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
AMERIBEN [11006]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ASSURANT HEALTH FC [13135]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ASURIS [11900]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11900]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ASURIS [11900]	Regence PPO	$3,013	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11900]	Regence PPO	$3,275	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11900]	Regence PPO	$3,828	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ASURIS [11900]	Regence PPO	$3,828	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11900]	Regence PPO	$4,166	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ASURIS [11900]	Regence PPO	$4,785	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ASURIS [11913]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ASURIS [11913]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11913]	Regence Exchange	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11913]	Regence Exchange	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11913]	Regence Exchange	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ASURIS [11913]	Regence Exchange	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ASURIS [11913]	Regence Exchange	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ASURIS [11913]	Regence Exchange	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$3,013	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$3,275	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$3,828	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$3,828	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$4,166	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$4,785	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CHPW CASCADE [12228]	CHPW Cascade Care	$115	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Cascade Care	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$1,997	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$2,170	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$2,537	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$2,537	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$2,761	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$3,171	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna Narrow Network	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna Narrow Network	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna Narrow Network	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna Narrow Network	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna Narrow Network	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna Narrow Network	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna Narrow Network	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna Narrow Network	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CIGNA [12204]	Cigna PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CLARITEV [12299]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CLARITEV [12299]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CLARITEV [12299]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CLARITEV [12299]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CLARITEV [12299]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Ambetter	$116	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Ambetter	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$116	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$1,997	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$2,170	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$2,537	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$2,537	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$2,761	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$3,171	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CORESOURCE [11004]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CORESOURCE [11004]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CORESOURCE [11004]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CORESOURCE [11004]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CORESOURCE [11004]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CORESOURCE [11004]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CORESOURCE [11004]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CORESOURCE [11004]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CORESOURCE [11004]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COVENTRY FC [13112]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COVENTRY FC [13112]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COVENTRY FC [13112]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY FC [13112]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY FC [13112]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COVENTRY FC [13112]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COVENTRY FC [13112]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COVENTRY FC [13112]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COVENTRY [12244]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COVENTRY [12244]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COVENTRY [12244]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY [12244]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COVENTRY [12244]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COVENTRY [12244]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COVENTRY [12244]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COVENTRY [12244]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
EBMS FC [13144]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
EBMS FC [13144]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
EBMS FC [13144]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
EBMS FC [13144]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
EBMS FC [13144]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS FC [13144]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS FC [13144]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
EBMS FC [13144]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
EBMS FC [13144]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
EBMS FC [13144]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
EBMS [11003]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
EBMS [11003]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
EBMS [11003]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
EBMS [11003]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS [11003]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS [11003]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
EBMS [11003]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
EBMS [11003]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
EBMS [11003]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
EBMS [12241]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
EBMS [12241]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
EBMS [12241]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
EBMS [12241]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
EBMS [12241]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
FIRST CHOICE [13399]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
FIRST HEALTH [12210]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
FIRST HEALTH [12210]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH [12210]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH [12210]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH [12210]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
FIRST HEALTH [12210]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
FIRST HEALTH [12210]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
FIRST HEALTH [12210]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
HCC MEDICAL [12274]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
HCC MEDICAL [12274]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
HCC MEDICAL [12274]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
HCC MEDICAL [12274]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
HCC MEDICAL [12274]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
HCC MEDICAL [12274]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
HCC MEDICAL [12274]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
HCC MEDICAL [12274]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [12266]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [13233]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
HUMANA [12224]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
HUMANA [12224]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
HUMANA [12224]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
HUMANA [12224]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
HUMANA [12224]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ILWU-PMA [13158]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ILWU-PMA [13158]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ILWU-PMA [13158]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ILWU-PMA [13158]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ILWU-PMA [13158]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser Exchange	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser Exchange	$1,920	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser Exchange	$1,997	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser Exchange	$2,170	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser Exchange	$2,537	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser Exchange	$2,537	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser Exchange	$2,761	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser Exchange	$3,171	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser HMO	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser HMO	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser HMO	$2,360	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser HMO	$2,565	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser HMO	$2,998	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser HMO	$2,998	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser HMO	$3,263	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser HMO	$3,747	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser PPO	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser PPO	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser PPO	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser PPO	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser PPO	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser PPO	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KAISER [13400]	Kaiser PPO	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser PPO	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [13401]	Kaiser HMO	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KAISER [13401]	Kaiser HMO	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KAISER [13401]	Kaiser HMO	$2,360	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13401]	Kaiser HMO	$2,565	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [13401]	Kaiser HMO	$2,998	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KAISER [13401]	Kaiser HMO	$2,998	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KAISER [13401]	Kaiser HMO	$3,263	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KAISER [13401]	Kaiser HMO	$3,747	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KPS [13109]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KPS [13109]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KPS [13109]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KPS [13109]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KPS [13109]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KPS [13109]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KPS [13109]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KPS [13109]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
LEWERMARK [12286]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
LEWERMARK [12286]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
LEWERMARK [12286]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
LEWERMARK [12286]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
LEWERMARK [12286]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
LEWERMARK [12286]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
LEWERMARK [12286]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
LEWERMARK [12286]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MEDICAL MUTUAL [12233]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MEDISHARE [12287]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MEDISHARE [12287]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MEDISHARE [12287]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDISHARE [12287]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDISHARE [12287]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MEDISHARE [12287]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MEDISHARE [12287]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MEDISHARE [12287]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MEGA LIFE [13111]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MEGA LIFE [13111]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MEGA LIFE [13111]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MEGA LIFE [13111]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MEGA LIFE [13111]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MEGA LIFE [13111]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MEGA LIFE [13111]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MEGA LIFE [13111]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MERITAIN HEALTH [13229]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MERITAIN [12251]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MERITAIN [12251]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MODA FC [13219]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MODA FC [13219]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MODA FC [13219]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MODA FC [13219]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MODA FC [13219]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA FC [13219]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA FC [13219]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MODA FC [13219]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MODA FC [13219]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MODA FC [13219]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MODA [11009]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA [11009]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA [11009]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MODA [11009]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MODA [12842]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MODA [12842]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MODA [12842]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MODA [12842]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MODA [12842]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Marketplace Exchange	$121	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MOLINA MARKETPLACE [12831]	Molina Marketplace Exchange	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PEHP [12235]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PEHP [12235]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PEHP [12235]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PEHP [12235]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PEHP [12235]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$3,141	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$3,141	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$3,267	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$3,551	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$4,151	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$4,151	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$4,518	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$5,189	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PERSONIFY FC [13155]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PERSONIFY [12270]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PERSONIFY [12270]	Cigna PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PERSONIFY [12270]	Cigna PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PERSONIFY [12270]	Cigna PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PERSONIFY [12270]	Cigna PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREFERRED ONE [11008]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera BC Heritage Prime	$154	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PREMERA [11600]	Premera BC Heritage Signature/Lifewise	$154	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PREMERA [11600]	Premera Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Exchange	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Exchange	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Exchange	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Exchange	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Exchange	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Exchange	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera HMO	$2,374	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera HMO	$2,374	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera HMO	$2,469	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera HMO	$2,683	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera HMO	$3,136	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera HMO	$3,136	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera HMO	$3,413	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera HMO	$3,920	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Narrow Network	$2,548	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Narrow Network	$2,548	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Narrow Network	$2,650	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Narrow Network	$2,880	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Narrow Network	$3,367	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Narrow Network	$3,367	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Narrow Network	$3,664	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Narrow Network	$4,209	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera PPO	$3,013	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera PPO	$3,275	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera PPO	$3,828	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera PPO	$3,828	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera PPO	$4,166	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera PPO	$4,785	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Public Option	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Public Option	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Public Option	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Public Option	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Public Option	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PREMERA [11600]	Premera Public Option	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Public Option	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Public Option	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
PSEW [13124]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
PSEW [13124]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
PSEW [13124]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
PSEW [13124]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
PSEW [13124]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
PSEW [13124]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
PSEW [13124]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
PSEW [13124]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
REGENCE UMP [12263]	Regence UMP	$140	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,269	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,360	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,565	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,998	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,998	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
REGENCE UMP [12263]	Regence UMP	$3,263	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
REGENCE UMP [12263]	Regence UMP	$3,747	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence Exchange	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence Exchange	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence Exchange	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence Exchange	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence Exchange	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence Exchange	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence PPO	$2,897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence PPO	$3,013	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence PPO	$3,275	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence PPO	$3,828	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence PPO	$3,828	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence PPO	$4,166	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence PPO	$4,785	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
REGENCE [11909]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
REGENCE [11909]	Regence Exchange	$1,885	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11909]	Regence Exchange	$1,960	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11909]	Regence Exchange	$2,131	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11909]	Regence Exchange	$2,491	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11909]	Regence Exchange	$2,491	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
REGENCE [11909]	Regence Exchange	$2,711	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
REGENCE [11909]	Regence Exchange	$3,113	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
REHN & ASSOCIATES [13182]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$3,351	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$3,485	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$3,788	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$4,428	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$4,428	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$4,819	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$5,535	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
SAMARITAN HEALTH [12265]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
SAMARITAN HEALTH [12265]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan	$228	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$3,316	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$3,449	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$3,748	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$4,382	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$4,382	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$4,769	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$5,477	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
STARMARK [13103]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
STARMARK [13103]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
STARMARK [13103]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
STARMARK [13103]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
STARMARK [13103]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
STARMARK [13103]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
STARMARK [13103]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
STARMARK [13103]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
STARMARK [13103]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
STARMARK [13103]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
TRUSTEED PLANS [13186]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UMR [12246]	United Exchange	$181	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UMR [12246]	United Exchange	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Healthcare	$181	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UMR [12246]	United Healthcare	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Narrow Network	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Narrow Network	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UMR [12246]	United Narrow Network	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Narrow Network	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Narrow Network	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UMR [12246]	United Narrow Network	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United Narrow Network	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UMR [12246]	United Narrow Network	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UMR [12246]	United PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UMR [12246]	United PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UMR [12246]	United PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UMR [12246]	United PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UMR [12246]	United PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$181	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$174	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$2,618	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$2,723	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$2,959	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$3,459	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$3,459	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$3,765	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$4,324	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
WEB TPA [11007]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
WEB TPA [11007]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
WEB TPA [11007]	Aetna PPO	$2,932	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
WEB TPA [11007]	Aetna PPO	$3,049	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
WEB TPA [11007]	Aetna PPO	$3,314	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
WEB TPA [11007]	Aetna PPO	$3,874	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
WEB TPA [11007]	Aetna PPO	$3,874	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
WEB TPA [11007]	Aetna PPO	$4,216	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
WEB TPA [11007]	Aetna PPO	$4,843	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
WELFARE PENSION [13120]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
WSHIP [13121]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
WSHIP [13121]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
WSHIP [13121]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
WSHIP [13121]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
WSHIP [13121]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
WSHIP [13121]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
WSHIP [13121]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
WSHIP [13121]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
WSHIP [13121]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
WSHIP [13121]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice	$160	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice	$229	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ZENITH [13123]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ZENITH [13123]	First Choice PPO	$2,967	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ZENITH [13123]	First Choice PPO	$3,086	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ZENITH [13123]	First Choice PPO	$3,354	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ZENITH [13123]	First Choice PPO	$3,920	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ZENITH [13123]	First Choice PPO	$3,920	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ZENITH [13123]	First Choice PPO	$4,267	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ZENITH [13123]	First Choice PPO	$4,900	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—

Medicaid managed care 114 prices

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

Medicaid managed care prices for Abdomen MRI without contrast at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHPW [15802]	CHPW Apple Health	$40.62	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$906	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CHPW [15802]	CHPW Apple Health	$906	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$942	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$1,024	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$1,197	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CHPW [15802]	CHPW Apple Health	$1,197	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CHPW [15802]	CHPW Apple Health	$1,303	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CHPW [15802]	CHPW Apple Health	$1,496	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ICW UHC [15812]	United Community Apple Health	$43.38	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ICW UHC [15812]	United Community Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [15818]	Molina Apple Health	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
KAISER [15818]	Molina Apple Health	$897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$933	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$1,014	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$1,186	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
KAISER [15818]	Molina Apple Health	$1,186	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
KAISER [15818]	Molina Apple Health	$1,290	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
KAISER [15818]	Molina Apple Health	$1,482	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MOLINA [15809]	Molina Apple Health	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MOLINA [15809]	Molina Apple Health	$897	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$933	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$1,014	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$1,186	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MOLINA [15809]	Molina Apple Health	$1,186	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MOLINA [15809]	Molina Apple Health	$1,290	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MOLINA [15809]	Molina Apple Health	$1,482	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,135	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,135	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,180	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,283	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,499	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,499	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,632	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,874	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United Community Apple Health	$43.38	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UBH COMMUNITY & STATE [15819]	United Community Apple Health	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,135	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,135	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,180	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,283	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,499	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,499	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,632	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,874	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$43.38	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$924	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$961	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,044	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,220	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,328	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,525	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—

Medicaid (state program) 10 prices

Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Medicaid (state program) prices for Abdomen MRI without contrast at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
MEDICAID WA [14900]	Washington Medicaid	$39.44	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$129	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$915	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$994	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$1,162	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$1,162	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$1,265	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MEDICAID WA [14900]	Washington Medicaid	$1,453	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—

Other government program 10 prices

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Abdomen MRI without contrast at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
USFHP [12208]	Pac Med	$82.47	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$200	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$1,431	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$1,431	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
USFHP [12208]	Pac Med	$1,488	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$1,618	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$1,891	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
USFHP [12208]	Pac Med	$1,891	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
USFHP [12208]	Pac Med	$2,058	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
USFHP [12208]	Pac Med	$2,364	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—

Unknown 73 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Abdomen MRI without contrast at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
AETNA [11000]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ASURIS [11900]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
ASURIS [11913]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$39.44	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$129	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$915	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$994	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$1,162	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$1,162	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$1,265	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$1,453	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
CIGNA [12204]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$3,141	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$3,141	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$3,267	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$3,551	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$4,151	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$4,151	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$4,518	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$5,189	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Eyequest	$45.36	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
EYE QUEST [15894]	Amerigroup Eyequest	$148	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$39.44	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$129	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
HOSPICE [17306]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$915	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$994	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$1,162	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
HOSPICE [17306]	Washington Medicaid	$1,162	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
HOSPICE [17306]	Washington Medicaid	$1,265	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
HOSPICE [17306]	Washington Medicaid	$1,453	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser	$165	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
KAISER [13400]	Kaiser	$200	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
KAISER [13401]	Kaiser	$165	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
KAISER [13401]	Kaiser	$200	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$39.44	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$129	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$880	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$915	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$994	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$1,162	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$1,162	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$1,265	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$1,453	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna	$155	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Vision	$41.41	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
OPTICARE [15895]	Coordinated Care Vision	$135	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PB CIGNA CRD [12283]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PB CIGNA CRD [12283]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
PB PREMERA [11601]	Premera Blue Cross	$154	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PB REGENCE [11908]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PREMERA [11600]	Premera Blue Cross	$154	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
REGENCE [11903]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
REGENCE [11909]	Regence Blue Shield	$148	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna	$170	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna	$143	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$3,072	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Inpatient or outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$3,072	Hospital’s fee	MRI Abdomen Limited	percent of total billed charges	Outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$3,195	Hospital’s fee	MRI Liver Iron Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$3,472	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Inpatient or outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$4,059	Hospital’s fee	MRI Abdomen W/O Contrast	percent of total billed charges	Outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$4,059	Hospital’s fee	MRCP	percent of total billed charges	Inpatient or outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$4,417	Hospital’s fee	MRI Liver Cardiac Quantification	percent of total billed charges	Outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$5,073	Hospital’s fee	MRI Mrcp With Secretin	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Healthcare	$181	Doctor’s fee	MRI, Abdomen (MRI)\|PROFESSIONAL COMPONENT	fee schedule	Inpatient or outpatient	—
UNITED HEALTHCARE [12201]	United Healthcare	$215	Hospital’s fee	MRI, Abdomen (MRI)	percent of total billed charges	Inpatient or outpatient	—

Doctors here who do this procedure

No doctor affiliated with Seattle Children's Hospital billed Traditional Medicare for this often enough for CMS to publish it (11 or more patients a year). That doesn’t mean no one here does it. See all doctors and practices for this procedure.

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Seattle Children's Hospital

Cash price 9 prices

List price (before discounts) 10 prices

Commercial insurance 889 prices

Medicaid managed care 114 prices

Medicaid (state program) 10 prices

Other government program 10 prices

Unknown 73 prices

Doctors here who do this procedure

Hospital's feeSent by the hospital

RadiologistSent by the radiology group