Scans and imaging CPT 77049 Outpatient

Breast MRI, both breasts cost in Nashville, TN

In Nashville-Davidson--Murfreesboro--Franklin, TN, 2 hospitals list a cash price for MRI of both breasts, without and then with contrast dye (both sides): from $454.14 to $845.64, with a median of $649.89. The lowest listed price is at Vanderbilt Wilson County Hospital — $195.75 less than the median here. Across Tennessee, the median is $795.63 at 12 hospitals.

Cash prices at 2 facilities across 2 cities 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 Oct 1, 2025 and Oct 1, 2025.

Lowest$454.14Vanderbilt Wilson County Hospital
Median$649.89half pay less
Highest$845.64in this market
Difference1.9×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 Nashville-Davidson--Murfreesboro--Franklin, TN.

median
Lowest $454.14Highest $845.64

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Vanderbilt Wilson County Hospital both sides lowest Lebanon, TN · (615) 444-2250 MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL $454.14 $1,566.00 $237.16–$1,566.00 71% Oct 1, 2025
source file
Vanderbilt University Medical Center both sides Nashville, TN · (615) 322-3454 MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL $845.64 $1,566.00 $237.16–$1,566.00 46% Oct 1, 2025
source file

Both sides : lowest $454.14, median $649.89, highest $845.64 — a 1.9× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $649.89. 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 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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

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.