CareNavIQ

All procedures › Abdomen MRI with and without contrast

Seattle Children's Hospital

SeattleKing CountyChildrens

Abdomen MRI with and 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
$174 – $8,362At least one plan lists 4 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)
$431 – $8,710The hospital lists 4 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.

BillWho sends itHow likelyStatusTraditional Medicare allowsPrivate plans (estimate)
Hospital's feeThe scan: equipment, technologist and contrast dyeThe hospitalExpectedPublished by the hospital: the prices above——
RadiologistReading the scan and writing the reportThe radiology groupExpectedBilled separately; amount estimated$110$130 to $197
Ordering doctor's visitThe visit where the MRI is ordered or the results are explainedYour doctorPossibleBilled 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

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 bill
The bill from the doctor doing the procedure

You pay about $71 to $84 of about $354 to $421 billed to your plan.

Your share of the hospital's bill is about $45; 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
  1. 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.
    $224
    Your plan pays
    $179
    Your coinsurance
    $44.81
    You oweThe provider bills you this after the insurer pays.
    $44.81
  2. 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.
    $130
    Your plan pays
    $104
    Your coinsurance
    $25.98
    You oweThe provider bills you this after the insurer pays.
    $25.98
All bills: allowed amounts
$354
Your plan pays
$283
You owe in all
$70.79
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 pay

Seattle Children's Hospital

The largest bill.

Request to send

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

Hello,

I am planning a abdomen mri with and without contrast (billing code CPT 74183) 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 with and without contrast."

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).

520 published prices, grouped by who each price applies to.

Cash price 4 prices

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

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$431Hospital’s feeMRI Abdomen W/O&W Dye—Inpatient or outpatient—
$6,968Hospital’s feeMRI Abdomen W+W/O Contrast—Outpatient—
$7,651Hospital’s feeMRI Urogram W+W/O Contrast—Outpatient—
$8,710Hospital’s feeMRI Enterography W+W/O Contrast—Outpatient—

List price (before discounts) 5 prices

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

PricePart of the billHospital’s descriptionHow it’s setSettingSource date
$432Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENT—Inpatient or outpatient—
$431Hospital’s feeMRI Abdomen W/O&W Dye—Inpatient or outpatient—
$6,968Hospital’s feeMRI Abdomen W+W/O Contrast—Outpatient—
$7,651Hospital’s feeMRI Urogram W+W/O Contrast—Outpatient—
$8,710Hospital’s feeMRI Enterography W+W/O Contrast—Outpatient—

Commercial insurance 399 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
ADMINISTRATORS [13102]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ADMINISTRATORS [13102]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ADMINISTRATORS [13102]First Choice EHN$5,575Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice EHN$6,121Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice EHN$6,968Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PSHVN$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PSHVN$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice PSHVN$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ADMINISTRATORS [13102]First Choice Puget Sound High Value$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ADMINISTRATORS [13102]First Choice Puget Sound High Value$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
AETNA [11000]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
AETNA [11000]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
AETNA [11000]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ALLEGIANCE [12264]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ALLEGIANCE [12264]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ALLEGIANCE [12264]Cigna PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ALLEGIANCE [12264]Cigna PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ALLEGIANCE [12264]Cigna PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ALLIED [13129]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ALLIED [13129]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ALLIED [13129]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ALLIED [13129]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ALLIED [13129]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ALTIUS HEALTH PLAN [12275]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ALTIUS HEALTH PLAN [12275]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ALTIUS HEALTH PLAN [12275]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
AMERIBEN [11006]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
AMERIBEN [11006]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
AMERIBEN [11006]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
AMERIBEN [11006]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ASSURANT HEALTH FC [13135]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ASSURANT HEALTH FC [13135]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ASSURANT HEALTH FC [13135]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ASSURANT HEALTH FC [13135]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ASSURANT HEALTH FC [13135]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11900]Regence PPO$5,784Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11900]Regence PPO$6,351Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11900]Regence PPO$7,229Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11913]Regence Exchange$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11913]Regence Exchange$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ASURIS [11913]Regence Exchange$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
BLUECROSS/SHIELD [11902]Regence PPO$5,784Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
BLUECROSS/SHIELD [11902]Regence PPO$6,351Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
BLUECROSS/SHIELD [11902]Regence PPO$7,229Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
BRIDGESPAN HEALTH COMPANY [11906]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
BRIDGESPAN HEALTH COMPANY [11906]Regence Exchange$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
BRIDGESPAN HEALTH COMPANY [11906]Regence Exchange$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
BRIDGESPAN HEALTH COMPANY [11906]Regence Exchange$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CARPENTERS TRUST [13100]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CARPENTERS TRUST [13100]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CARPENTERS TRUST [13100]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CHPW CASCADE [12228]CHPW Cascade Care$174Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CHPW CASCADE [12228]CHPW Cascade Care$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
CHPW CASCADE [12228]CHPW Public Option$3,833Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CHPW CASCADE [12228]CHPW Public Option$4,208Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CHPW CASCADE [12228]CHPW Public Option$4,791Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CHRISTIAN BROTHERS [11001]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CHRISTIAN BROTHERS [11001]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CHRISTIAN BROTHERS [11001]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CHRISTIAN BROTHERS [11001]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna Narrow Network$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna Narrow Network$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna Narrow Network$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CLARITEV [12299]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
CLARITEV [12299]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
CLARITEV [12299]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CLARITEV [12299]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CLARITEV [12299]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COASTAL ADMINISTRATIVE [13140]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
COASTAL ADMINISTRATIVE [13140]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
COASTAL ADMINISTRATIVE [13140]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COASTAL ADMINISTRATIVE [13140]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COASTAL ADMINISTRATIVE [13140]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Ambetter$176Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
COORDINATED CARE [12267]Coordinated Care Ambetter$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
COORDINATED CARE [12267]Coordinated Care Exchange$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Exchange$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Exchange$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Public Option$176Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
COORDINATED CARE [12267]Coordinated Care Public Option$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
COORDINATED CARE [12267]Coordinated Care Public Option$3,833Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Public Option$4,208Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [12267]Coordinated Care Public Option$4,791Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CORESOURCE [11004]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CORESOURCE [11004]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CORESOURCE [11004]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CORESOURCE [11004]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY FC [13112]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY FC [13112]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY FC [13112]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY MHBP [12272]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY MHBP [12272]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY MHBP [12272]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY [12244]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY [12244]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COVENTRY [12244]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS FC [13144]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
EBMS FC [13144]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
EBMS FC [13144]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS FC [13144]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS FC [13144]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [11003]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
EBMS [11003]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [11003]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [11003]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [12241]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
EBMS [12241]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
EBMS [12241]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [12241]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
EBMS [12241]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST CHOICE [13399]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
FIRST CHOICE [13399]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
FIRST CHOICE [13399]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST CHOICE [13399]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST CHOICE [13399]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST HEALTH [12210]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST HEALTH [12210]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
FIRST HEALTH [12210]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
GUARDIAN FC [13105]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
GUARDIAN FC [13105]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
GUARDIAN FC [13105]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
HCC MEDICAL [12274]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
HCC MEDICAL [12274]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
HCC MEDICAL [12274]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [12266]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
HEALTH ALLIANCE [12266]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
HEALTH ALLIANCE [12266]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [12266]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [12266]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [13233]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
HEALTH ALLIANCE [13233]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
HEALTH ALLIANCE [13233]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [13233]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
HEALTH ALLIANCE [13233]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
HUMANA [12224]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
HUMANA [12224]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
HUMANA [12224]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
HUMANA [12224]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
HUMANA [12224]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ILWU-PMA [13158]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ILWU-PMA [13158]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ILWU-PMA [13158]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ILWU-PMA [13158]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ILWU-PMA [13158]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser Exchange$3,833Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser Exchange$4,208Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser Exchange$4,791Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser HMO$4,529Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser HMO$4,973Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser HMO$5,662Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser PPO$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser PPO$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser PPO$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13401]Kaiser HMO$4,529Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13401]Kaiser HMO$4,973Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13401]Kaiser HMO$5,662Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KEY BENEFIT ADMIN [12276]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
KEY BENEFIT ADMIN [12276]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
KEY BENEFIT ADMIN [12276]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KEY BENEFIT ADMIN [12276]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KEY BENEFIT ADMIN [12276]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KPS [13109]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KPS [13109]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KPS [13109]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
LEWERMARK [12286]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
LEWERMARK [12286]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
LEWERMARK [12286]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
LOOMIS BENEFITS WEST [13161]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
LOOMIS BENEFITS WEST [13161]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
LOOMIS BENEFITS WEST [13161]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
LOOMIS BENEFITS WEST [13161]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
LOOMIS BENEFITS WEST [13161]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MEDICAL MUTUAL [12233]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
MEDICAL MUTUAL [12233]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MEDICAL MUTUAL [12233]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MEDICAL MUTUAL [12233]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MEDICAL MUTUAL [12233]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MEDISHARE [12287]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MEDISHARE [12287]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MEDISHARE [12287]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MEGA LIFE [13111]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MEGA LIFE [13111]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MEGA LIFE [13111]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN HEALTH [13229]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MERITAIN HEALTH [13229]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MERITAIN HEALTH [13229]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN HEALTH [13229]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN HEALTH [13229]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MERITAIN [12251]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
MERITAIN [12251]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MERITAIN [12251]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MERITAIN [12251]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MODA FC [13219]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MODA FC [13219]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MODA FC [13219]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MODA FC [13219]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MODA FC [13219]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [11009]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [11009]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [11009]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [12842]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
MODA [12842]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MODA [12842]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [12842]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [12842]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA MARKETPLACE [12831]Molina Exchange$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA MARKETPLACE [12831]Molina Exchange$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA MARKETPLACE [12831]Molina Exchange$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA MARKETPLACE [12831]Molina Marketplace Exchange$184Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MOLINA MARKETPLACE [12831]Molina Marketplace Exchange$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MYERS STEVENS & TOOHEY [13169]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MYERS STEVENS & TOOHEY [13169]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MYERS STEVENS & TOOHEY [13169]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MYERS STEVENS & TOOHEY [13169]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MYERS STEVENS & TOOHEY [13169]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
NIPPON LIFE INSURANCE [12232]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
NIPPON LIFE INSURANCE [12232]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
NIPPON LIFE INSURANCE [12232]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
NIPPON LIFE INSURANCE [12232]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
NIPPON LIFE INSURANCE [12232]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFIC UNDERWRITERS [13175]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PACIFIC UNDERWRITERS [13175]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PACIFIC UNDERWRITERS [13175]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFIC UNDERWRITERS [13175]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFIC UNDERWRITERS [13175]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFICSOURCE [12245]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFICSOURCE [12245]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PACIFICSOURCE [12245]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PEHP [12235]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
PEHP [12235]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PEHP [12235]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PEHP [12235]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PEHP [12235]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY CONTRACTED [12205]6 Degrees Health$6,271Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY CONTRACTED [12205]6 Degrees Health$6,886Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY CONTRACTED [12205]6 Degrees Health$7,839Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY FC [13155]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PERSONIFY FC [13155]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PERSONIFY FC [13155]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY FC [13155]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY FC [13155]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY [12270]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PERSONIFY [12270]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PERSONIFY [12270]Cigna PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY [12270]Cigna PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PERSONIFY [12270]Cigna PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERRED ONE [11008]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PREFERRED ONE [11008]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERRED ONE [11008]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERRED ONE [11008]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERREDONE ADMIN SERVICES [12236]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
PREFERREDONE ADMIN SERVICES [12236]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PREFERREDONE ADMIN SERVICES [12236]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERREDONE ADMIN SERVICES [12236]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREFERREDONE ADMIN SERVICES [12236]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera BC Heritage Prime$231Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PREMERA [11600]Premera BC Heritage Signature/Lifewise$231Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PREMERA [11600]Premera Exchange$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Exchange$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Exchange$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera HMO$4,738Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera HMO$5,203Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera HMO$5,923Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Narrow Network$5,087Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Narrow Network$5,585Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Narrow Network$6,358Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera PPO$5,784Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera PPO$6,351Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera PPO$7,229Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Public Option$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Public Option$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PREMERA [11600]Premera Public Option$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PRINCIPAL MUTUAL FC [13115]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PRINCIPAL MUTUAL FC [13115]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PRINCIPAL MUTUAL FC [13115]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [12289]Cigna PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [12289]Cigna PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [12289]Cigna PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [13181]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PROVIDENCE HEALTH PLAN [13181]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PROVIDENCE HEALTH PLAN [13181]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [13181]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PROVIDENCE HEALTH PLAN [13181]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
PSEW [13124]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
PSEW [13124]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
PSEW [13124]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE UMP [12263]Regence UMP$212Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
REGENCE UMP [12263]Regence UMP$4,529Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE UMP [12263]Regence UMP$4,973Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE UMP [12263]Regence UMP$5,662Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence Exchange$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence Exchange$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence Exchange$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence PPO$5,784Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence PPO$6,351Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11903]Regence PPO$7,229Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11909]Regence Exchange$3,763Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11909]Regence Exchange$4,132Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
REGENCE [11909]Regence Exchange$4,703Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
REHN & ASSOCIATES [13182]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
REHN & ASSOCIATES [13182]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
REHN & ASSOCIATES [13182]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
REHN & ASSOCIATES [13182]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
REHN & ASSOCIATES [13182]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
RURAL CARRIER BENEFIT PLAN [12271]First Health PPO$6,689Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
RURAL CARRIER BENEFIT PLAN [12271]First Health PPO$7,345Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
RURAL CARRIER BENEFIT PLAN [12271]First Health PPO$8,362Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
SAMARITAN HEALTH [12265]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
SAMARITAN HEALTH [12265]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
SELECT HEALTH [12277]Multiplan$346Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTpercent of total billed chargesInpatient or outpatient—
SELECT HEALTH [12277]Multiplan$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
SELECT HEALTH [12277]Multiplan PPO$6,620Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
SELECT HEALTH [12277]Multiplan PPO$7,269Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
SELECT HEALTH [12277]Multiplan PPO$8,275Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
SOUND HEALTH AND WELLNESS [13116]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
SOUND HEALTH AND WELLNESS [13116]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
SOUND HEALTH AND WELLNESS [13116]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
STARMARK [13103]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
STARMARK [13103]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
STARMARK [13103]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
STARMARK [13103]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
STARMARK [13103]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
TONGASS TIMBER TRUST [13202]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
TONGASS TIMBER TRUST [13202]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
TONGASS TIMBER TRUST [13202]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
TONGASS TIMBER TRUST [13202]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
TONGASS TIMBER TRUST [13202]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTEED PLANS [13186]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
TRUSTEED PLANS [13186]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
TRUSTEED PLANS [13186]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTEED PLANS [13186]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTEED PLANS [13186]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTMARK LIFE INSURANCE [13203]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
TRUSTMARK LIFE INSURANCE [13203]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
TRUSTMARK LIFE INSURANCE [13203]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTMARK LIFE INSURANCE [13203]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
TRUSTMARK LIFE INSURANCE [13203]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
TUFTS HEALTH PLAN [12279]Cigna PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
TUFTS HEALTH PLAN [12279]Cigna PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
TUFTS HEALTH PLAN [12279]Cigna PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United Exchange$272Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UMR [12246]United Exchange$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UMR [12246]United Healthcare$272Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UMR [12246]United Healthcare$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UMR [12246]United Narrow Network$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United Narrow Network$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United Narrow Network$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UMR [12246]United PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Exchange$272Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UNITED HEALTHCARE [12201]United Exchange$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UNITED HEALTHCARE [12201]United Exchange$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Exchange$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Exchange$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United HMO$261Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UNITED HEALTHCARE [12201]United HMO$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UNITED HEALTHCARE [12201]United HMO$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United HMO$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United HMO$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Narrow Network$5,226Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Narrow Network$5,738Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Narrow Network$6,533Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
WEB TPA [11007]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
WEB TPA [11007]Aetna PPO$5,853Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
WEB TPA [11007]Aetna PPO$6,427Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
WEB TPA [11007]Aetna PPO$7,316Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
WELFARE PENSION [13120]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
WELFARE PENSION [13120]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
WELFARE PENSION [13120]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
WELFARE PENSION [13120]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
WELFARE PENSION [13120]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
WSHIP [13121]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
WSHIP [13121]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
WSHIP [13121]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
WSHIP [13121]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
WSHIP [13121]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH AMERICAN SOLUTIONS [13195]First Choice$240Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ZENITH AMERICAN SOLUTIONS [13195]First Choice$345Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ZENITH AMERICAN SOLUTIONS [13195]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH AMERICAN SOLUTIONS [13195]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH AMERICAN SOLUTIONS [13195]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH [13123]First Choice PPO$5,923Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH [13123]First Choice PPO$6,504Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ZENITH [13123]First Choice PPO$7,404Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—

Medicaid managed care 54 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
CHPW [15802]CHPW Apple Health$61.60Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CHPW [15802]CHPW Apple Health$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
CHPW [15802]CHPW Apple Health$1,809Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CHPW [15802]CHPW Apple Health$1,986Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CHPW [15802]CHPW Apple Health$2,261Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [15815]Coordinated Care Apple Health$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
COORDINATED CARE [15815]Coordinated Care Apple Health$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
COORDINATED CARE [15815]Coordinated Care Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [15815]Coordinated Care Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COORDINATED CARE [15815]Coordinated Care Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
EYE QUEST [15894]Amerigroup Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
EYE QUEST [15894]Amerigroup Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
EYE QUEST [15894]Amerigroup Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ICW UHC [15812]United Community Apple Health$65.79Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ICW UHC [15812]United Community Apple Health$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ICW UHC [15812]United Community Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ICW UHC [15812]United Community Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ICW UHC [15812]United Community Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
ICW WELLPOINT [15822]Amerigroup Apple Health$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ICW WELLPOINT [15822]Amerigroup Apple Health$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
ICW WELLPOINT [15822]Amerigroup Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
ICW WELLPOINT [15822]Amerigroup Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
ICW WELLPOINT [15822]Amerigroup Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [15818]Molina Apple Health$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
KAISER [15818]Molina Apple Health$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
KAISER [15818]Molina Apple Health$1,791Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [15818]Molina Apple Health$1,967Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [15818]Molina Apple Health$2,239Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA [15809]Molina Apple Health$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MOLINA [15809]Molina Apple Health$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MOLINA [15809]Molina Apple Health$1,791Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA [15809]Molina Apple Health$1,967Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MOLINA [15809]Molina Apple Health$2,239Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
OPTICARE [15895]Coordinated Care Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
OPTICARE [15895]Coordinated Care Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
OPTICARE [15895]Coordinated Care Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UBH COMMUNITY & STATE [15819]United BH Community Apple Health$2,265Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UBH COMMUNITY & STATE [15819]United BH Community Apple Health$2,487Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UBH COMMUNITY & STATE [15819]United BH Community Apple Health$2,831Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UBH COMMUNITY & STATE [15819]United Community Apple Health$65.79Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UBH COMMUNITY & STATE [15819]United Community Apple Health$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United BH Community Apple Health$2,265Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United BH Community Apple Health$2,487Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United BH Community Apple Health$2,831Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United Community Apple Health$65.79Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United Community Apple Health$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United Community Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United Community Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE COMMUNITY PLAN [15816]United Community Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
WELLPOINT [15814]Amerigroup Apple Health$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
WELLPOINT [15814]Amerigroup Apple Health$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
WELLPOINT [15814]Amerigroup Apple Health$1,844Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
WELLPOINT [15814]Amerigroup Apple Health$2,025Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
WELLPOINT [15814]Amerigroup Apple Health$2,305Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—

Medicaid (state program) 5 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
MEDICAID WA [14900]Washington Medicaid$59.81Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MEDICAID WA [14900]Washington Medicaid$194Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MEDICAID WA [14900]Washington Medicaid$1,756Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MEDICAID WA [14900]Washington Medicaid$1,928Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MEDICAID WA [14900]Washington Medicaid$2,195Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—

Other government program 5 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
USFHP [12208]Pac Med$125Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
USFHP [12208]Pac Med$302Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
USFHP [12208]Pac Med$2,857Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
USFHP [12208]Pac Med$3,137Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
USFHP [12208]Pac Med$3,571Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—

Unknown 48 prices

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

PayerPlanPricePart of the billHospital’s descriptionHow it’s setSettingSource date
AETNA [11000]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ASURIS [11900]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
ASURIS [11913]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CHILD HEARING LEAGUE [17301]Washington Medicaid$59.81Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CHILD HEARING LEAGUE [17301]Washington Medicaid$194Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
CHILD HEARING LEAGUE [17301]Washington Medicaid$1,756Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
CHILD HEARING LEAGUE [17301]Washington Medicaid$1,928Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
CHILD HEARING LEAGUE [17301]Washington Medicaid$2,195Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
CIGNA [12204]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
CIGNA [12204]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
COASTAL ADMIN SVCS CONTRACTED [12222]6 Degrees Health$6,271Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
COASTAL ADMIN SVCS CONTRACTED [12222]6 Degrees Health$6,886Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
COASTAL ADMIN SVCS CONTRACTED [12222]6 Degrees Health$7,839Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
EYE QUEST [15894]Amerigroup Eyequest$68.78Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
EYE QUEST [15894]Amerigroup Eyequest$223Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
HOSPICE [17306]Washington Medicaid$59.81Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
HOSPICE [17306]Washington Medicaid$194Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
HOSPICE [17306]Washington Medicaid$1,756Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
HOSPICE [17306]Washington Medicaid$1,928Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
HOSPICE [17306]Washington Medicaid$2,195Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
KAISER [13400]Kaiser$247Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
KAISER [13400]Kaiser$302Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
KAISER [13401]Kaiser$247Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
KAISER [13401]Kaiser$302Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MAPLE LANE SCHOOL [17309]Washington Medicaid$59.81Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
MAPLE LANE SCHOOL [17309]Washington Medicaid$194Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
MAPLE LANE SCHOOL [17309]Washington Medicaid$1,756Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
MAPLE LANE SCHOOL [17309]Washington Medicaid$1,928Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
MAPLE LANE SCHOOL [17309]Washington Medicaid$2,195Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
MODA [11009]Aetna$235Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
OPTICARE [15895]Coordinated Care Vision$62.80Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
OPTICARE [15895]Coordinated Care Vision$204Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PB CIGNA CRD [12283]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PB CIGNA CRD [12283]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
PB PREMERA [11601]Premera Blue Cross$231Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PB REGENCE [11908]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PREMERA [11600]Premera Blue Cross$231Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PROVIDENCE HEALTH PLAN [12289]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
PROVIDENCE HEALTH PLAN [12289]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
REGENCE [11903]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
REGENCE [11909]Regence Blue Shield$224Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
TUFTS HEALTH PLAN [12279]Cigna$255Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
TUFTS HEALTH PLAN [12279]Cigna$216Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient or outpatient—
UNITED BEHAVIORAL HEALTH [12234]United Behavioral Health$6,132Hospital’s feeMRI Abdomen W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED BEHAVIORAL HEALTH [12234]United Behavioral Health$6,733Hospital’s feeMRI Urogram W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED BEHAVIORAL HEALTH [12234]United Behavioral Health$7,665Hospital’s feeMRI Enterography W+W/O Contrastpercent of total billed chargesOutpatient—
UNITED HEALTHCARE [12201]United Healthcare$272Doctor’s feeMRI Abdomen W/O&W Dye|PROFESSIONAL COMPONENTfee scheduleInpatient or outpatient—
UNITED HEALTHCARE [12201]United Healthcare$323Hospital’s feeMRI Abdomen W/O&W Dyepercent of total billed chargesInpatient 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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