Quan MRI alys brain w/o diagnostic MRI same sess (CPT 0865T)
0865T is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
204 of 4255 hospitals post a price for this code. Hospitals that don't post one are left out. We never guess a number.
Compare interactively: search all codes, set your location →
| Hospital | Location | Posted cash | Posted gross | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Adventist Health Bakersfield range across 2 matching MRF lines |
Bakersfield, CA | $51–$117.90 | $340–$786 | $306.88 | varies |
| University Health System | San Antonio, TX | $118.75 | $475 | $239.69 | 0.5× |
| Indiana University Health Ball Memorial Hospital | Muncie, IN | $127.53 | $601 | $252.82 | 0.5× |
| Baptist Health Medical Center-North Little Rock | North Little Rock, AR | $138.84 | $555.36 | $224.19 | 0.6× |
| Baptist Health Medical Center-Hot Spring County | Malvern, AR | $138.84 | $555.36 | $228.19 | 0.6× |
| Baptist Health Medical Center-El Dorado | El Dorado, AR | $138.84 | $555.36 | $217.25 | 0.6× |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $138.84 | $555.36 | $224.19 | 0.6× |
| Baptist Health Medical Center-Conway | Conway, AR | $138.84 | $555.36 | $224.19 | 0.6× |
| Baptist Health Medical Center-Heber Springs | Heber Springs, AR | $138.84 | $555.36 | $217.25 | 0.6× |
| Baptist Health Medical Center-Magnolia | Magnolia, AR | $138.84 | $555.36 | $217.25 | 0.6× |
| Baptist Health Medical Center-Stuttgart | Stuttgart, AR | $138.84 | $555.36 | $217.25 | 0.6× |
| McLaren Greater Lansing | Lansing, MI | $143.75 | $287.50 | $237.74 | 0.6× |
| Iu Health Bloomington Hospital | Bloomington, IN | $147.97 | $601 | $252.44 | 0.6× |
| Indiana University Health Arnett Hospital | Lafayette, IN | $150.19 | $601 | $252.44 | 0.6× |
| Adventist Health Delano | Delano, CA | $157.20 | $786 | $306.88 | 0.5× |
| University of Michigan Health - West | Wyoming, MI | $167.60 | $419 | $237.74 | 0.7× |
| Indiana University Health | Indianapolis, IN | $170.62 | $601 | $252.44 | 0.7× |
| Indiana University Health Bedford Hospital | Bedford, IN | $171.59 | $601 | $252.44 | 0.7× |
| Indiana University Health White Memorial Hospital | Monticello, IN | $187.39 | $601 | $252.44 | 0.7× |
| UCHealth Highlands Ranch Hospital | Highlands Ranch, CO | $188.70 | $629 | $251.70 | 0.7× |
| Boston Medical Center | Boston, MA | $197.10 | $438 | $285.95 | 0.7× |
| St. Joseph Hospital | Nashua, NH | $198.90 | $510 | $260.66 | 0.8× |
| Baptist Medical Center Jacksonville | Jacksonville, FL | $210.18 | $339 | $249.17 | 0.8× |
| Baptist Medical Center - Beaches | Jacksonville Beach, FL | $210.18 | $339 | $249.17 | 0.8× |
| Baptist Medical Center - Nassau | Fernandina Beach, FL | $210.18 | $339 | $249.17 | 0.8× |
| Adventist Health Tehachapi Valley | Tehachapi, CA | $212.22 | $786 | $306.88 | 0.7× |
| Longs Peak Hospital | Longmont, CO | $220.15 | $629 | $254.49 | 0.9× |
| UCHealth Broomfield Hospital | Broomfield, CO | $220.15 | $629 | $252.50 | 0.9× |
| UCHealth Grandview Hospital | Colorado Springs, CO | $220.15 | $629 | $251.70 | 0.9× |
| UCHealth University of Colorado Hospital | Aurora, CO | $220.85 | $631 | $251.70 | 0.9× |
| Indiana University Health Tipton Hospital Inc | Tipton, IN | $226.34 | $601 | $252.44 | 0.9× |
| Indiana University Health Paoli Hospital | Paoli, IN | $230.60 | $601 | $252.44 | 0.9× |
| WakeMed Raleigh Campus | Raleigh, NC | $231.04 | $608 | $241.78 | 1.0× |
| WakeMed Cary Hospital | Cary, NC | $231.04 | $608 | $241.78 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $242.63 | — | $249.17 | 1.0× |
| Indiana University Health Frankfort Inc | Frankfort, IN | $242.68 | $601 | $252.44 | 1.0× |
| St. Joseph's Medical Center | Yonkers, NY | $243.77 | — | $297.84 | 0.8× |
| Iu Health Jay | Portland, IN | $268.89 | $601 | $252.44 | 1.1× |
| Highland Hospital | Rochester, NY | $283.22 | — | $297.84 | 1.0× |
| Strong Memorial Hospital range across 2 matching MRF lines |
Rochester, NY | $283.22–$925.65 | — | $297.84 | varies |
| Community Hospital of the Monterey Peninsula | Monterey, CA | $284.20 | $406 | $349.03 | 0.8× |
| Ascension Seton Highland Lakes | Burnet, TX | $284.49 | $790.25 | $239.69 | 1.2× |
| Ascension Seton Edgar B Davis | Luling, TX | $284.49 | $790.25 | $239.69 | 1.2× |
| Lincoln Medical & Mental Health Center | Bronx, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Jacobi Medical Center | Bronx, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Elmhurst Hospital Center | Elmhurst, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| NYC Health + Hospitals/South Brooklyn Health | Brooklyn, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Metropolitan Hospital Center | New York, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Kings County Hospital Center | Brooklyn, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Bellevue Hospital Center | New York, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Queens Hospital Center | Jamaica, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Harlem Hospital Center | New York, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Woodhull Medical & Mental Health Center | Brooklyn, NY | $286.04 | $850.10 | $297.84 | 1.0× |
| Griffin Hospital | Derby, CT | $288.97 | — | $286.04 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $292.80 | $600 | $254.61 | 1.1× |
| Ascension Seton Hays range across 3 matching MRF lines |
Kyle, TX | $298.35–$313.20 | $828.75–$870 | $239.69 | varies |
| Ascension Seton Smithville range across 2 matching MRF lines |
Smithville, TX | $303.84–$313.20 | $844–$870 | $239.69 | varies |
| Providence Regional Medical Center Everett | Everett, WA | $305.76 | $588 | $271.72 | 1.1× |
| Ascension Seton Medical Center Austin | Austin, TX | $313.20 | $870 | $239.69 | 1.3× |
| Dell Seton Med Center at The University of Tx | Austin, TX | $313.20 | $870 | $239.69 | 1.3× |
| Ascension Seton Southwest | Austin, TX | $313.20 | $870 | $239.69 | 1.3× |
| Ascension Seton Northwest | Austin, TX | $313.20 | $870 | $239.69 | 1.3× |
| UCHealth Memorial Hospital Central | Colorado Springs, CO | $316.80 | $704 | $251.70 | 1.3× |
| Children's National Hospital | Washington, DC | $321 | $642 | $281.87 | 1.1× |
| Henry Ford Macomb Hospital | Clinton Township, MI | $328.08 | $3,451 | $237.74 | 1.4× |
| Henry Ford Hospital | Detroit, MI | $328.08 | $3,451 | $237.74 | 1.4× |
| Henry Ford Wyandotte Hospital | Wyandotte, MI | $328.08 | $3,451 | $237.74 | 1.4× |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $328.08 | $3,451 | $237.74 | 1.4× |
| Lawrence + Memorial Hospital | New London, CT | $353.10 | $980.84 | $286.04 | 1.2× |
| George Washington University Hospital | Washington, DC | $357.20 | $893 | $281.87 | 1.3× |
| Cedar Hill Regional Medical Center GW Health | Washington, DC | $357.20 | $893 | $281.87 | 1.3× |
| Fred Hutch Cancer Center | Seattle, WA | $361.80 | $402 | $277.07 | 1.3× |
| Texas Health Harris Methodist Hospital Fort Worth (Texas Health Resources) | Fort Worth, TX | $364.80 | $608 | $239.69 | 1.5× |
| UCHealth Greeley Hospital | Greeley, CO | $364.80 | $608 | $252.03 | 1.4× |
| Texas Health Arlington Memorial Hospital | Arlington, TX | $364.80 | $608 | $240.08 | 1.5× |
| Texas Health Presbyterian Hospital Plano | Plano, TX | $364.80 | $608 | $239.69 | 1.5× |
| University of Michigan Health | Ann Arbor, MI | $370 | $925 | $237.74 | 1.6× |
| UW Medical Center | Seattle, WA | $379.89 | $542.70 | $276.30 | 1.4× |
| Harborview Medical Center | Seattle, WA | $379.89 | $542.70 | $276.30 | 1.4× |
| Nebraska Medical Center | Omaha, NE | $396.50 | $610 | $247.76 | 1.6× |
| Bellevue Medical Center | Bellevue, NE | $396.50 | $610 | $247.76 | 1.6× |
| Loma Linda University Medical Center-murrieta | Murrieta, CA | $400.05 | $889 | $306.88 | 1.3× |
| H. Lee Moffitt Cancer Center & Research Institute | Tampa, FL | $418 | $836 | $249.17 | 1.7× |
| Riverside University Health System-medical Center | Moreno Valley, CA | $423.07 | $423.07 | $306.88 | 1.4× |
| Poudre Valley Hospital | Fort Collins, CO | $425.60 | $608 | $251.70 | 1.7× |
| Medical Center of the Rockies | Loveland, CO | $425.60 | $608 | $251.70 | 1.7× |
| Valley Medical Center | Renton, WA | $448.70 | $641 | $277.07 | 1.6× |
| Emory University Hospital range across 2 matching MRF lines |
Atlanta, GA | $449–$561 | $449–$561 | $239.32 | varies |
| Emory Decatur Hospital range across 2 matching MRF lines |
Decatur, GA | $449–$561 | $449–$561 | $239.32 | varies |
| Emory University Hospital Midtown range across 2 matching MRF lines |
Atlanta, GA | $449–$561 | $449–$561 | $242.35 | varies |
| Emory Saint Joseph's Hospital range across 2 matching MRF lines |
Atlanta, GA | $449–$561 | $449–$561 | $242.35 | varies |
| Emory Hillandale Hospital range across 2 matching MRF lines |
Lithonia, GA | $449–$561 | $449–$561 | $239.32 | varies |
| Emory Johns Creek Hospital range across 2 matching MRF lines |
Johns Creek, GA | $449–$561 | $449–$561 | $242.35 | varies |
| Mease Dunedin Hospital | Dunedin, FL | $473.40 | $789 | $249.17 | 1.9× |
| Winter Haven Hospital | Winter Haven, FL | $473.40 | $789 | $249.17 | 1.9× |
| Morton Plant North Bay Hospital | New Port Richey, FL | $473.40 | $789 | $249.17 | 1.9× |
| St. Anthony's Hospital | Saint Petersburg, FL | $473.40 | $789 | $249.17 | 1.9× |
| St. Joseph's Hospital | Tampa, FL | $473.40 | $789 | $249.17 | 1.9× |
| Bartow Regional Medical Center | Bartow, FL | $473.40 | $789 | $249.17 | 1.9× |
| Morton Plant Hospital | Clearwater, FL | $473.40 | $789 | $249.17 | 1.9× |
| South Florida Baptist Hospital | Plant City, FL | $473.40 | $789 | $249.17 | 1.9× |
| Mease Countryside Hospital | Safety Harbor, FL | $473.40 | $789 | $249.17 | 1.9× |
| BayCare Hospital Wesley Chapel | Wesley Chapel, FL | $473.40 | $789 | $249.17 | 1.9× |
| Providence St. Vincent Medical Center | Portland, OR | $490.50 | $654 | $265.21 | 1.8× |
| Providence Newberg Medical Center | Newberg, OR | $490.50 | $654 | $265.21 | 1.8× |
| Providence Willamette Falls Medical Center | Oregon City, OR | $490.50 | $654 | $265.21 | 1.8× |
| Providence Portland Medical Center | Portland, OR | $490.50 | $654 | $265.21 | 1.8× |
| Providence Milwaukie Hospital | Milwaukie, OR | $490.50 | $654 | $265.21 | 1.8× |
| Bridgeport Hospital | Bridgeport, CT | $510.04 | $980.84 | $286.04 | 1.8× |
| Greenwich Hospital | Greenwich, CT | $510.04 | $980.84 | $286.04 | 1.8× |
| Scripps Mercy Hospital | San Diego, CA | $522.12 | $2,088.48 | $306.88 | 1.7× |
| Scripps Memorial Hospital La Jolla | La Jolla, CA | $522.12 | $2,088.48 | $306.88 | 1.7× |
| Scripps Green Hospital | La Jolla, CA | $522.12 | $2,088.48 | $306.88 | 1.7× |
| Scripps Memorial Hospital - Encinitas | Encinitas, CA | $522.12 | $2,088.48 | $306.88 | 1.7× |
| UF Health Leesburg Hospital | Leesburg, FL | $522.50 | $950 | $249.17 | 2.1× |
| Flagler Hospital | Saint Augustine, FL | $522.50 | $950 | $249.17 | 2.1× |
| UF Health Shands Hospital | Gainesville, FL | $522.50 | $950 | $249.17 | 2.1× |
| UF Health Spanish Plaines Hospital | The Villages, FL | $522.50 | $950 | $249.17 | 2.1× |
| University of Cincinnati Medical Center, LLC | Cincinnati, OH | $532.20 | $887 | $236.56 | 2.2× |
| West Chester Hospital | West Chester, OH | $532.20 | $887 | $232.52 | 2.3× |
| MedStar Washington Hospital Center | Washington, DC | $574.23 | $883.43 | $281.87 | 2.0× |
| Yale New Haven Hospital | New Haven, CT | $578.70 | $980.84 | $286.04 | 2.0× |
| Dell Children's Medical Center range across 2 matching MRF lines |
Austin, TX | $590.80–$609 | $844–$870 | $239.69 | varies |
| Kaiser Foundation Hospital - South San Francisco | South San Francisco, CA | $599.20 | $1,070 | $346.45 | 1.7× |
| Kaiser Foundation Hospital-santa Clara | Santa Clara, CA | $599.20 | $1,070 | $344.90 | 1.7× |
| Kaiser Foundation Hospital - Walnut Creek | Walnut Creek, CA | $599.20 | $1,070 | $338.78 | 1.8× |
| Kaiser Foundation Hospital and Rehab Center | Vallejo, CA | $599.20 | $1,070 | $350.54 | 1.7× |
| Kaiser Foundation Hospital - Oakland/richmond | Oakland, CA | $599.20 | $1,070 | $349.03 | 1.7× |
| Kaiser Foundation Hospital - San Francisco | San Francisco, CA | $599.20 | $1,070 | $344.90 | 1.7× |
| Kaiser Foundation Hospital - Sacramento | Sacramento, CA | $599.20 | $1,070 | $338.78 | 1.8× |
| Kaiser Foundation Hospital | San Rafael, CA | $599.20 | $1,070 | $338.43 | 1.8× |
| Kaiser Foundation Hospital - Fremont | Fremont, CA | $599.20 | $1,070 | $344.90 | 1.7× |
| Kaiser Foundation Hospital - Redwood City | Redwood City, CA | $599.20 | $1,070 | $346.45 | 1.7× |
| Kaiser Foundation Hospital-san Jose | San Jose, CA | $599.20 | $1,070 | $350.95 | 1.7× |
| Kaiser Foundation Hosp So Sacramento | Sacramento, CA | $599.20 | $1,070 | $338.78 | 1.8× |
| Kaiser Foundation Hospital-santa Rosa | Santa Rosa, CA | $599.20 | $1,070 | $328.10 | 1.8× |
| Kaiser Foundation Hospital - Fresno | Fresno, CA | $599.20 | $1,070 | $306.88 | 2.0× |
| Kaiser Foundation Hospital Manteca | Manteca, CA | $599.20 | $1,070 | $334.35 | 1.8× |
| Kaiser Foundation Hospital - Antioch | Antioch, CA | $599.20 | $1,070 | $336.92 | 1.8× |
| Kaiser Foundation Hospital - Vacaville | Vacaville, CA | $599.20 | $1,070 | $350.54 | 1.7× |
| Kaiser Foundation Hospital - Roseville | Roseville, CA | $599.20 | $1,070 | $309.66 | 1.9× |
| Kaiser Foundation Hospital - San Leandro | San Leandro, CA | $599.20 | $1,070 | $344.94 | 1.7× |
| Bethesda Hospital East | Boynton Beach, FL | $607.10 | $934 | $249.17 | 2.4× |
| Baptist Hospital of Miami | Miami, FL | $607.10 | $934 | $249.17 | 2.4× |
| Homestead Hospital | Homestead, FL | $607.10 | $934 | $249.17 | 2.4× |
| South Miami Hospital | South Miami, FL | $607.10 | $934 | $249.17 | 2.4× |
| Doctors Hospital | Coral Gables, FL | $607.10 | $934 | $249.17 | 2.4× |
| West Kendall Baptist Hospital | Miami, FL | $607.10 | $934 | $249.17 | 2.4× |
| Fishermen's Community Hospital | Marathon, FL | $607.10 | $934 | $249.17 | 2.4× |
| Mariners Hospital | Tavernier, FL | $607.10 | $934 | $249.17 | 2.4× |
| Johnson County Community Hospital | Mountain City, TN | $624.68 | $2,716 | $216.48 | 2.9× |
| Hancock County Hospital | Sneedville, TN | $624.68 | $2,716 | $216.48 | 2.9× |
| Dickenson Community Hospital | Clintwood, VA | $624.68 | $2,716 | $232.80 | 2.7× |
| Lee County Community Hospital | Pennington Gap, VA | $624.68 | $2,716 | $232.80 | 2.7× |
| Bristol Regional Medical Center | Bristol, TN | $636.75 | $4,245 | $226.35 | 2.8× |
| Holston Valley Medical Center | Kingsport, TN | $636.75 | $4,245 | $226.35 | 2.8× |
| Sycamore Shoals Hospital | Elizabethton, TN | $636.75 | $4,245 | $216.48 | 2.9× |
| Hawkins County Memorial Hospital | Rogersville, TN | $636.75 | $4,245 | $216.48 | 2.9× |
| Greeneville Community Hospital | Greeneville, TN | $636.75 | $4,245 | $222.65 | 2.9× |
| Johnson City Medical Center | Johnson City, TN | $636.75 | $4,245 | $222.65 | 2.9× |
| Indian Path Community Hospital | Kingsport, TN | $636.75 | $4,245 | $216.48 | 2.9× |
| Franklin Woods Community Hospital | Johnson City, TN | $636.75 | $4,245 | $216.64 | 2.9× |
| Russell County Hospital | Lebanon, VA | $636.75 | $4,245 | $232.80 | 2.7× |
| Smyth County Community Hospital | Marion, VA | $636.75 | $4,245 | $232.80 | 2.7× |
| Johnston Memorial Hospital | Abingdon, VA | $636.75 | $4,245 | $232.80 | 2.7× |
| Lonesome Pine Hospital | Big Stone Gap, VA | $636.75 | $4,245 | $232.80 | 2.7× |
| Beth Israel Deaconess Medical Center | Boston, MA | $725 | $725 | $285.95 | 2.5× |
| Mount Sinai Hospital | New York, NY | $850.50 | $945 | $297.84 | 2.9× |
| Mount Sinai West | New York, NY | $850.50 | $945 | $297.84 | 2.9× |
| Mount Sinai Brooklyn | Brooklyn, NY | $850.50 | $945 | $297.84 | 2.9× |
| UNC Hospitals | Chapel Hill, NC | $853.80 | $1,423 | $236.62 | 3.6× |
| Montefiore Medical Center range across 4 matching MRF lines |
Bronx, NY | $869.82–$3,441.75 | $845–$5,295 | $297.84 | varies |
| Roper Hospital | Charleston, SC | $873.60 | $1,344 | $221.92 | 3.9× |
| Roper St. Francis Mount Pleasant Hospital | Mount Pleasant, SC | $873.60 | $1,344 | $221.92 | 3.9× |
| Roper St. Francis Berkeley Hospital | Summerville, SC | $873.60 | $1,344 | $221.92 | 3.9× |
| Children's of Alabama | Birmingham, AL | $898.37 | $2,089.23 | $218.25 | 4.1× |
| Mosaic Life Care at St. Joseph - Medical Center | St. Joseph, MO | $1,003 | $1,180 | $238.99 | 4.2× |
| University Hospital | Columbia, MO | $1,044 | $1,740 | $238.99 | 4.4× |
| Santa Clara Valley Medical Center | San Jose, CA | $1,183.70 | $1,691 | $350.95 | 3.4× |
| Regional Medical Center of San Jose | San Jose, CA | $1,183.70 | $1,691 | $350.95 | 3.4× |
| Northwest Texas Hospital | Amarillo, TX | $1,210.40 | $3,026 | $239.69 | 5.0× |
| War Memorial Hospital | Berkeley Springs, WV | $1,216.60 | $1,738 | $228.88 | 5.3× |
| Hampshire Memorial Hospital | Romney, WV | $1,216.60 | $1,738 | $231.44 | 5.3× |
| Winchester Medical Center | Winchester, VA | $1,216.60 | $1,738 | $239.38 | 5.1× |
| Warren Memorial Hospital | Front Royal, VA | $1,216.60 | $1,738 | $246.86 | 4.9× |
| Shenandoah Memorial Hospital | Woodstock, VA | $1,216.60 | $1,738 | $232.80 | 5.2× |
| Page Memorial Hospital | Luray, VA | $1,216.60 | $1,738 | $239.92 | 5.1× |
| William P. Clements Jr. University Hospital (UT Southwestern) | Dallas, TX | $1,243 | $2,486 | $239.69 | 5.2× |
| St. Tammany Parish Hospital | Covington, LA | $1,260 | $2,100 | $216.68 | 5.8× |
| Pullman Regional Hospital | Pullman, WA | $1,326 | $1,560 | $265.88 | 5.0× |
| Miami Valley Hospital | Dayton, OH | $1,456 | $1,456 | $236.56 | 6.2× |
| Atrium Medical Center | Franklin, OH | $1,456 | $1,456 | $236.56 | 6.2× |
| Upper Valley Medical Center | Troy, OH | $1,456 | $1,456 | $233.84 | 6.2× |
| Memorial Sloan Kettering Cancer Center | New York, NY | $1,765 | $1,765 | $297.84 | 5.9× |
| CHI St. Alexius Health | Bismarck, ND | $2,180.25 | $4,275 | $243.77 | 8.9× |
| Children's Hospital Colorado | Aurora, CO | $2,844.40 | $4,376 | $251.70 | 11.3× |
| Children's Hospital Colorado - Colorado Springs | Colorado Springs, CO | $2,844.40 | $4,376 | $251.70 | 11.3× |
| California Pacific Medical Ctr-davies Campus Hosp | San Francisco, CA | $4,052 | $4,052 | $344.94 | 11.7× |
| Alta Bates Summit Medical Center | Oakland, CA | $4,052 | $4,052 | $339.26 | 11.9× |
| California Pacific Medical Center- Van Ness Campus | San Francisco, CA | $4,052 | $4,052 | $344.94 | 11.7× |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | $4,052 | $4,052 | $339.26 | 11.9× |
| Rady Children's Hospital - San Diego | San Diego, CA | $6,661.50 | $8,882 | $306.88 | 21.7× |
| St. Jude Children's Research Hospital | Memphis, TN | — | $967 | $221.07 | — |
| Henry Ford Jackson Hospital | Jackson, MI | — | $3,451 | $238.84 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.