Breast MRI

A breast MRI (Magnetic Resonance Imaging) is a non-invasive imaging test that uses magnets and radio waves to create detailed pictures of the breast tissue. It is often used in addition to mammograms or ultrasounds to evaluate abnormalities, screen high-risk patients, or assess the extent of breast cancer. During the procedure, the patient lies face down in a scanner while images are taken—no radiation is used. A contrast dye may be injected through an IV to help highlight certain areas. The test is painless, though some patients may feel a sensation of warmth or mild discomfort from the IV. Most people can return to normal activities immediately after the MRI.

You'd pay up to

$3,045 /

Case Rate

The estimated total cost of care without any insurance coverage or discounts.

Location

Insurance Plan

$3,045

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest

$665

Highest

$4,567

Cash price

up to $3,045

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Breast MRI Standard Service Package (SSP RA011). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code	Code Type	Description
Revenue Code 250	Facility Fee	Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS A9575	Facility Fee	Intramuscular Injection of Gadoterate Meglumine, 0.1 ml
Revenue Code 258	Facility Fee	Pharmacy (Also see 063X, an extension of 250X) - IV solutions
HCPCS 77049	Facility Fee	MRI of Bilateral Breasts with Contrast and CAD Analysis

Disclaimer

Cameron Memorial Community Hospital is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to

$3,045 /

Case Rate

The estimated total cost of care without any insurance coverage or discounts.

Location

Insurance Plan

Disclaimer

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Service	Breast MRI
Service Codes	Revenue Code 250, HCPCS A9575, Revenue Code 258, HCPCS 77049
Insurance	I'm not using insurance
Location	Cameron Memorial Community Hospital