HSHS St Clare Memorial Hospital
Critical Access Hospital
855 South Main Street, Oconto Falls, WI 54154
How this provider stacks up
$6,233
This provider's rate
Lowest
$769
Highest
$6,233
This is this provider's negotiated rate. See how it compares to rates from other providers in this area.
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Breast MRI Overview
This list includes the services and fees bundled into the Breast MRI Standard Service Package (SSP RA011). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS 77049 | Base Code | Breast MRI |
| HCPCS 77049 | Professional | Breast MRI |
| RC 0636 | Facility | Pharmacy - Extension of 025X - Drugs requiring detailed coding |
| RC 0610 | Facility | Magnetic Resonance Technology (MRT) - General |
Your Right to Know (and Save)
The No Surprises Act requires healthcare providers to give you a cost estimate for certain services. We've made it easier by grouping common services into Standard Service Packages (SSPs), so you can see the typical services and costs that are usually bundled together. Here's how to use this estimate to avoid surprise bills and shop around confidently:
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Review this estimate and others nearby to see how costs can vary for the full procedure.
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Ask for a “Good Faith Estimate” and reference the CPT code we provide.
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