Providence Holy Cross Medical Center — MRI prices
← Hospital overviewVerified from Providence Holy Cross Medical Center’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.
21 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC MRI ABDOMEN WO CONTRAST Inpatient & outpatient | 74181 HCPCS | $9,943 | $3,480 | — | — | |
| HC MRI ABDOMEN WO CONTRAST Outpatient | 74181 HCPCS | $2,239 | $784 | — | — | |
| HC MRI BRAIN STEM W/O DYE Inpatient & outpatient | 70551 HCPCS | $8,638 | $3,023 | — | — | |
| HC MRI BRAIN STEM W/O DYE Outpatient | 70551 HCPCS | $2,239 | $784 | — | — | |
| HC MRI BRAIN W/DYE Inpatient & outpatient | 70552 HCPCS | $10,511 | $3,679 | — | — | |
| HC MRI BRAIN W/DYE Outpatient | 70552 HCPCS | $2,716 | $951 | — | — | |
| HC MRI BRAIN W/DYE W/FIDUCIAL MRKRS Inpatient & outpatient | 70552 HCPCS | $10,511 | $3,679 | — | — | |
| HC MRI BRAIN W/DYE W/FIDUCIAL MRKRS Outpatient | 70552 HCPCS | $2,716 | $951 | — | — | |
| HC MRI BRAIN W/DYE W/O FIDUCIAL MRKRS Inpatient & outpatient | 70552 HCPCS | $10,511 | $3,679 | — | — | |
| HC MRI BRAIN W/DYE W/O FIDUCIAL MRKRS Outpatient | 70552 HCPCS | $2,716 | $951 | — | — | |
| HC MRI BRAIN W/O & W/DYE Inpatient & outpatient | 70553 HCPCS | $13,116 | $4,591 | — | — | |
| HC MRI BRAIN W/O & W/DYE Outpatient | 70553 HCPCS | $3,428 | $1,200 | — | — | |
| HC MRI BRAIN W/O DYE LIMITED Inpatient & outpatient | 70551 HCPCS | $8,638 | $3,023 | — | — | |
| HC MRI CERVICAL SPINE W/O DYE Inpatient & outpatient | 72141 HCPCS | $9,923 | $3,473 | — | — | |
| HC MRI CERVICAL SPINE W/O DYE Outpatient | 72141 HCPCS | $2,239 | $784 | — | — | |
| HC MRI LOWER EXTREMITY JOINT WO CONTRAST Inpatient & outpatient | 73721 HCPCS | $6,515 | $2,280 | — | — | |
| HC MRI LOWER EXTREMITY JOINT WO CONTRAST Outpatient | 73721 HCPCS | $2,239 | $784 | — | — | |
| HC MRI LUMBAR SPINE W/O DYE Inpatient & outpatient | 72148 HCPCS | $9,923 | $3,473 | — | — | |
| HC MRI LUMBAR SPINE W/O DYE Outpatient | 72148 HCPCS | $2,239 | $784 | — | — | |
| HC MRI MRCP ABDOMEN WO CONTRAST Inpatient & outpatient | 74181 HCPCS | $9,943 | $3,480 | — | — | |
| HC MRI MRCP ABDOMEN WO CONTRAST Outpatient | 74181 HCPCS | $2,239 | $784 | — | — |