Abdominal MRI cost in St. Louis, MO
In St. Louis, MO-IL, 10 hospitals list a cash price for MRI of the abdomen without contrast: from $429.59 to $3,171.60, with a median of $2,190.83. The lowest listed price is at Gateway Regional Medical Center — $1,761.24 less than the median here. Across Missouri, the median is $1,381.90 at 22 hospitals.
Cash prices at 10 facilities across 8 cities for code 74181, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Gateway Regional Medical Center lowest Granite City, IL · (618) 798-3000 MR-ABDOMEN WO | $429.59 | $715.99 | $715.99 | 40% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 MRI Abdomen WO Cont | $1,171.95 | $1,803.00 | $234.45–$537.72 | 35% | — source file |
| Mercy Hospital Washington Washington, MO MRI Abdomen WO Cont | $1,361.10 | $2,094.00 | $234.45–$298.73 | 35% | — source file |
| Shriners Childrens - St Louis Saint Louis, MO · (314) 432-3600 MRI ABDOMEN W/O CONTRAST | $1,935.50 | $1,935.50 | $165.17–$483.44 | — | — source file |
| Mercy Hospital St Louis Saint Louis, MO MRI Abdomen WO Cont | $2,110.55 | $3,247.00 | $351.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 MRI Abdomen WO Cont | $2,271.10 | $3,494.00 | $288.48–$317.33 | 35% | — source file |
| Hshs Holy Family Hospital Greenville, IL · (618) 664-1230 HC MRI ABDOMEN W/O CON | $2,988.00 | $4,150.00 | $219.59–$4,150.00 | 28% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC MRI ABDOMEN W/O CON | $3,102.48 | $4,309.00 | $209.13–$4,309.00 | 28% | — source file |
| St Josephs Hospital Hospital Sisters Third Order of St Francis Breese, IL · (618) 526-4511 HC MRI ABDOMEN W/O CON | $3,130.56 | $4,348.00 | $209.13–$4,348.00 | 28% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC MRI ABDOMEN W/O CON | $3,171.60 | $4,405.00 | $486.73–$4,405.00 | 28% | — source file |
Outpatient: lowest $429.59, median $2,190.83, highest $3,171.60 — a 7.4× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $3,102.48. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 5 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
An abdominal MRI without contrast images the liver, pancreas, kidneys and bile ducts. It is used, for example, to look at bile ducts (MRCP) or liver fat, without radiation.
What the price covers
The price usually covers the scan. The radiologist's reading may be billed separately.