CHILDREN'S HEALTHCARE OF ATLANTA AT HUGHES SPALDING

ATLANTA, GA 303033032 (404) 785-5437 208000000X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
Mra Scan of Blood Vessels of Abdomen	04839	$4,858	N/A
Mra Scan of Blood Vessels of Chest	04840	$6,093	N/A
Mra Scan of Leg Blood Vessels	04841	$5,462	N/A
Mra Scan of Arm Blood Vessels	04842	$17,057	N/A
MRI Scan of Abdomen W/O & W/Contrast	04844	$8,757	N/A
MRI Scan of Abdomen W/Contrast	04845	$7,916	N/A
MRI Scan of Abdomen W/O Contrast	04846	$8,004	N/A
MRI Scan of Chest W/O & W/Contrast	04853	$7,319	N/A
MRI Scan of Chest W/Contrast	04854	$4,157	N/A
MRI Scan of Chest W/O Contrast	04855	$5,849	N/A
MRI Scan of Leg Joint W/Contrast	04862	$6,377	N/A
MRI Scan of Leg Joint W/O Contrast	04863	$5,941	N/A
MRI Scan of Leg W/O & W/Contrast	04864	$8,560	N/A
MRI Scan of Leg W/Contrast	04865	$6,629	N/A
MRI Scan of Leg W/O Contrast	04866	$5,941	N/A
MRI Scan of Leg Joint W/O & W/Contrast	04867	$8,560	N/A
MRI Scan Bones of the Eye, Face, and/or Neck W/O & W/Contrast	04869	$10,220	N/A
MRI Scan Bones of the Eye, Face, and/or Neck W/Contrast	04872	$7,610	N/A
MRI Scan Bones of the Eye, Face, and/or Neck W/O Contrast	04873	$7,094	N/A
Intraoperative MRI Spectroscopy, Brain Tumor	04878	$4,197	N/A
MRI Scan of Jaw Joints	04879	$5,961	N/A
MRI Scan of Arm Joint W/Contrast	04880	$6,860	N/A
MRI Scan of Arm Joint W/O Contrast	04881	$6,161	N/A
MRI Scan of Arm W/O & W/Contrast	04882	$8,549	N/A
MRI Scan of Arm W/Contrast	04883	$6,608	N/A
MRI Scan of Arm W/O Contrast	04885	$6,161	N/A
MRI Scan of Arm Joint W/O & W/Contrast	04886	$8,549	N/A
MRI of Heart for Morphology and Function W/O Contrast	05033	$5,670	N/A
MRI of Heart for Morphology and Function W/O & W/Contrast	05037	$6,807	N/A
MRI Scan of Pelvis W/O & W/Contrast Limited	05046	$7,192	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.