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Procedure price report · Magnetic resonance imaging

Breast MRI of both breasts, with and without contrast

CPT 77049the billing code this page is about

Magnetic resonance imaging of both breasts taken both before and after injection of contrast dye, including computer-aided image analysis when done.

Hospitals typically charge $1,876 cash for this outpatient procedure — the median across 1,510 hospitals that filed a usable cash price; the average of the middle 60% is $1,944. Most fall between $761 and $3,730 (20th–80th percentile).

Hospitals
1,510
States
50
Filings dated
Jan 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,510 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$391$978$1,876$3,244$5,125

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($391 vs $5,125).

How the prices are spread

$254 – $352: 62 hospitals$254$352 – $489: 55 hospitals$489 – $679: 61 hospitals$489$679 – $943: 117 hospitals$943 – $1,310: 177 hospitals$943$1,310 – $1,819: 180 hospitals$1,819 – $2,525: 267 hospitals$1,819$2,525 – $3,506: 176 hospitals$3,506 – $4,868: 164 hospitals$3,506$4,868 – $6,759: 101 hospitals$4,868median $1,876price bands are equal on a log scale
Hospitals per price band (1,360 of 1,510 — the bands cover the 5th to 95th percentile)
FromToHospitals
$254$35262
$352$48955
$489$67961
$679$943117
$943$1,310177
$1,310$1,819180
$1,819$2,525267
$2,525$3,506176
$3,506$4,868164
$4,868$6,759101

By state

The median cash price in each state, against the national median of $1,876.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $1,459 across 17 hospitalsME$1,459Vermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $2,113 across 11 hospitalsNH$2,113Washington: median $1,776 across 35 hospitalsWA$1,776Idaho: median $2,780 across 10 hospitalsID$2,780Montana: 7 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,407 across 42 hospitalsMN$1,407Illinois: median $2,920 across 71 hospitalsIL$2,920Wisconsin: median $1,692 across 75 hospitalsWI$1,692Michigan: median $938 across 48 hospitalsMI$938New York: median $1,596 across 69 hospitalsNY$1,596Massachusetts: median $1,667 across 44 hospitalsMA$1,667Oregon: median $2,224 across 25 hospitalsOR$2,224Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,266 across 29 hospitalsIA$1,266Indiana: median $1,459 across 61 hospitalsIN$1,459Ohio: median $1,928 across 80 hospitalsOH$1,928Pennsylvania: median $1,687 across 51 hospitalsPA$1,687New Jersey: median $989 across 23 hospitalsNJ$989Connecticut: median $2,149 across 19 hospitalsCT$2,149Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $2,800 across 98 hospitalsCA$2,800Utah: median $4,294 across 25 hospitalsUT$4,294Colorado: median $1,923 across 22 hospitalsCO$1,923Nebraska: median $2,375 across 30 hospitalsNE$2,375Missouri: median $1,615 across 17 hospitalsMO$1,615Kentucky: median $395 across 27 hospitalsKY$395West Virginia: median $1,989 across 12 hospitalsWV$1,989Virginia: median $1,965 across 21 hospitalsVA$1,965Maryland: median $1,059 across 21 hospitalsMD$1,059Delaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,059 across 28 hospitalsAZ$1,059New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $1,268 across 18 hospitalsKS$1,268Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $737 across 32 hospitalsTN$737North Carolina: median $1,823 across 46 hospitalsNC$1,823South Carolina: median $2,859 across 35 hospitalsSC$2,859Oklahoma: median $882 across 14 hospitalsOK$882Louisiana: median $738 across 26 hospitalsLA$738Mississippi: median $1,859 across 19 hospitalsMS$1,859Alabama: median $2,018 across 19 hospitalsAL$2,018Georgia: median $1,959 across 54 hospitalsGA$1,959Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,876 across 86 hospitalsTX$1,876Florida: median $2,613 across 82 hospitalsFL$2,613
Cash price by state, most expensive first. National median $1,876. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Utah UT25$4,294+129%$4,294 – $5,051
Illinois IL71$2,920+56%$1,095 – $5,297
South Carolina SC35$2,859+52%$2,204 – $4,345
California CA98$2,800+49%$1,196 – $6,238
Idaho ID10$2,780+48%$2,106 – $4,280
Florida FL82$2,613+39%$1,824 – $4,963
Nebraska NE30$2,375+27%$1,506 – $4,032
Oregon OR25$2,224+19%$2,160 – $2,483
Connecticut CT19$2,149+15%$507 – $2,833
New Hampshire NH11$2,113+13%$1,121 – $3,083
Alabama AL19$2,018+8%$621 – $6,759
West Virginia WV12$1,989+6%$1,358 – $3,572
Virginia VA21$1,965+5%$737 – $2,995
Georgia GA54$1,959+4%$215 – $3,637
Ohio OH80$1,928+3%$346 – $3,890
Colorado CO22$1,923+3%$894 – $2,102
Texas TX86$1,8760%$1,616 – $3,244
Mississippi MS19$1,859−1%$747 – $2,332
North Carolina NC46$1,823−3%$992 – $2,911
Washington WA35$1,776−5%$1,064 – $2,807
Wisconsin WI75$1,692−10%$938 – $3,931
Pennsylvania PA51$1,687−10%$673 – $3,730
Massachusetts MA44$1,667−11%$1,224 – $4,494
Missouri MO17$1,615−14%$1,180 – $2,465
New York NY69$1,596−15%$992 – $4,932
Maine ME17$1,459−22%$363 – $2,999
Indiana IN61$1,459−22%$336 – $2,349
Minnesota MN42$1,407−25%$978 – $1,651
Kansas KS18$1,268−32%$718 – $3,876
Iowa IA29$1,266−33%$222 – $2,698
Maryland MD21$1,059−44%$486 – $1,429
Arizona AZ28$1,059−44%$739 – $1,997
New Jersey NJ23$989−47%$294 – $4,085
Michigan MI48$938−50%$400 – $4,883
Oklahoma OK14$882−53%$391 – $2,073
Louisiana LA26$738−61%$529 – $1,500
Tennessee TN32$737−61%$408 – $1,004
Kentucky KY27$395−79%$225 – $1,188
Hawaii HI9not enough hospitals filed a usable price
Rhode Island RI9not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $1,876.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,249$1,876$761 – $3,786
Children’s13fewer than 20 hospitals
Critical access240$1,876$820 – $3,542
Ownership
For-profit116$2,127$930 – $5,028
Government212$1,792$737 – $3,098
Non-profit1,174$1,847$761 – $3,778
System affiliation
Part of a system1,275$1,859$768 – $3,798
Independent235$2,062$750 – $3,437

Cash price vs list price

Median list price (chargemaster)$3,127
Median cash price$1,876
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,128 hospitals filed a usable inpatient cash price for this code. The median is $1,903 and the average of the middle 60% is $2,072; most fall between $747 and $3,890.

Cash price percentiles, inpatient, across 1,128 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$400$978$1,903$3,518$5,759

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($400 vs $5,759).

Of the 1,256 hospitals that filed this code inpatient, 1,128 gave a usable cash price; 85 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 43 a list price only.

How complete is this

1,510 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,749 hospitals that filed this code at all gave us
Usable cash price — counted1,510
Cash price carrying a plausibility flag — shown on the compare tool, excluded here136
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded98
Hospitals that filed this code1,749

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Magnetic resonance imaging family.

Hospitals file this code under descriptions such as MRI Breast Without&With Contrast W/Cad Bilateral.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Breast MRI of both breasts, with and without contrast (CPT 77049) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-77049-breast-mri-of-both-breasts-with-and-without-contrast