716105291 — Icd Subcutaneous Emblem MRI
Cite this view
HANK Price Transparency. (n.d.). ICD SUBCUTANEOUS EMBLEM MRI (OTHER 716105291) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/716105291?code_type=OTHER
“ICD SUBCUTANEOUS EMBLEM MRI (OTHER 716105291) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/716105291?code_type=OTHER. Accessed .
“ICD SUBCUTANEOUS EMBLEM MRI (OTHER 716105291) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/716105291?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,896–$23,128 (25th–75th percentile) across 2 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 716105291 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Perry Hospital | Amerigroup | — | $4,379.90 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Wellcare Of Georgia | — | $4,754.75 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Peach State Health Plan | — | $4,902.23 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Caresource | — | $4,987.83 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Wellcare Ga | — | $5,139.47 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Amerigroup | — | $5,345.05 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Peach State Hp | — | $5,397.41 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Caresource | — | $6,294.99 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Dodge Cty | — | $6,896.34 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Dodge Cty | — | $6,896.34 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana | — | $19,218.66 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Humana | — | $19,495.19 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Humana | — | $20,028.12 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Humana | — | $20,258.00 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Coventry | — | $20,315.47 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Coventry Hc Of Ga | — | $20,315.47 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Bcbs Hmo | — | $20,951.26 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Bcbs Ppo | — | $21,220.61 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Bcbs Ppo | — | $21,378.65 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Bcbs Hmo | — | $21,378.65 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Cigna | — | $21,522.33 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Alliant | — | $22,413.11 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Alliant | — | $22,413.11 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Secure Health | — | $22,987.80 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Secure Health | — | $22,987.80 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Blue Cross Par | — | $23,174.58 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Cigna | — | $23,418.82 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Blue Cross Par | — | $24,246.38 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Beech Street | — | $25,861.28 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Beech Street | — | $25,861.28 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | First Health | — | $25,861.28 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | First Health | — | $25,861.28 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| Perry Hospital | Phcs | — | $26,435.97 | $28,734.75 | — | 2026-07-05 | MRF ↗ |
| EMORY HOUSTON HOSPITAL WARNER ROBINS | Phcs | — | $26,435.97 | $28,734.75 | — | 2026-07-05 | MRF ↗ |