Scans and imaging CPT 77049 Outpatient

Breast MRI, both breasts cost in Appleton, WI

In Appleton, WI, 1 hospital lists a cash price for MRI of both breasts, without and then with contrast dye (both sides): from $285.00 to $285.00, with a median of $285.00. Across Wisconsin, the median is $5,005.55 at 12 hospitals.

Cash prices at 1 facility for code 77049, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$285.00Ascension NE Wisconsin - St Elizabeth Campus
Median$285.00half pay less
Highest$285.00in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $285.00Highest $1,521.90

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Ascension NE Wisconsin - St Elizabeth Campus both sides lowest Appleton, WI · (920) 738-2000 HC MRI BREAST W OR/& WO CONT PREPAY BILAT $285.00 $500.00 $116.13–$372.11 43% —
source file
Ascension NE Wisconsin - St Elizabeth Campus both sides Appleton, WI · (920) 738-2000 HC MRI BREAST W/CONT, BILAT $1,399.92 $2,456.00 $116.13–$953.66 43% —
source file
Ascension NE Wisconsin - St Elizabeth Campus both sides Appleton, WI · (920) 738-2000 HC MRI W/O FOL W/CONT, BREAST BILAT $1,521.90 $2,670.00 $116.13–$953.66 43% —
source file

Both sides : lowest $285.00, median $285.00, highest $285.00.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. 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

A breast MRI takes pictures of both breasts before and after contrast dye is injected into a vein, and the code includes computer-aided analysis of the images. It is used to screen women at high risk of breast cancer and to check the extent of a cancer that has already been found.

What the price covers

The hospital price usually covers the imaging of both breasts and the computer analysis; the contrast agent may appear as a separate line. The radiologist's reading is often billed separately.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 77049 ($1,875.95). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Ascension NE Wisconsin - St Elizabeth Campus Appleton, WIHC PREPAY ABBREV BREAST MRI UNI $142.50 file