Providence Mount Carmel Hospital — MRI prices
← Hospital overviewVerified from Providence Mount Carmel Hospital’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
10 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC MRI ABDOMEN WO CONTRAST Inpatient & outpatient | 74181 HCPCS | $3,956 | $2,769 | — | — | |
| HC MRI BRAIN STEM W/O DYE Inpatient & outpatient | 70551 HCPCS | $3,046 | $2,132 | — | — | |
| HC MRI BRAIN W/DYE Inpatient & outpatient | 70552 HCPCS | $3,248 | $2,274 | — | — | |
| HC MRI BRAIN W/O & W/DYE Inpatient & outpatient | 70553 HCPCS | $5,205 | $3,644 | — | — | |
| HC MRI BRAIN W/O DYE LIMITED Inpatient & outpatient | 70551 HCPCS | $1,541 | $1,079 | — | — | |
| HC MRI CERVICAL SPINE W/O DYE Inpatient & outpatient | 72141 HCPCS | $2,888 | $2,022 | — | — | |
| HC MRI LOWER EXTREMITY JOINT WO CONTRAST Inpatient & outpatient | 73721 HCPCS | $3,128 | $2,190 | — | — | |
| HC MRI LUMBAR SPINE W/O DYE Inpatient & outpatient | 72148 HCPCS | $3,690 | $2,583 | — | — | |
| HC MRI LUMBAR SPINE W/O DYE LIMITED Inpatient & outpatient | 72148 HCPCS | $1,691 | $1,184 | — | — | |
| HC MRI MRCP ABDOMEN WO CONTRAST Inpatient & outpatient | 74181 HCPCS | $4,386 | $3,070 | — | — |