Scans and imaging CPT 77049 Outpatient

Breast MRI, both breasts cost in Washington, DC

In Washington-Arlington-Alexandria, DC-VA-MD-WV, 4 hospitals list a cash price for MRI of both breasts, without and then with contrast dye: from $849.32 to $2,808.04, with a median of $2,610.03. The lowest listed price is at MedStar Southern Hospital Center — $1,760.71 less than the median here. Across District of Columbia, the median is $2,629.99 at 2 hospitals.

  • The median here, $2,610.03, is 24% above the US median of $2,110.75.
  • That is 7.3× Medicare's 2026 national rate for the same service ($356.43).
  • Every hospital here lists a cash price below its full list price.

Cash prices at 10 facilities across 9 cities for code 77049, as an outpatient — the setting a self-pay patient normally buys. Collected Oct 29, 2026; the hospital files themselves were last updated between Mar 17, 2025 and Apr 1, 2026.

Lowest$849.32MedStar Southern Hospital Center
Median$2,610.03half of hospitals charge less
Highest$2,808.04in this market
Difference3.3×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 Washington-Arlington-Alexandria, DC-VA-MD-WV.

median
Lowest $248.10Highest $2,808.04
one sideboth sides

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
MedStar Southern Hospital Center lowest Clinton, MD · (301) 868-8000 MRI BREAST W/O W INCL CAD BIL File of Apr 1, 2026 · source file $849.32 $866.65 $849.32–$866.65 2%
MedStar Washington Hospital Center Washington, DC · (202) 877-7000 MRI BREAST W O W INCL CAD BIL File of Apr 1, 2026 · source file $2,451.94 $3,772.22 $1,056.22–$4,203.36 35%
MedStar Montgomery Medical Center Olney, MD · (301) 774-8882 MRI BREAST W/O W INCL CAD BIL File of Apr 1, 2026 · source file $2,768.12 $2,824.61 $2,768.12–$2,824.61 2%
MedStar Georgetown Hospital Northwest Washington, DC · (202) 784-3000 MRI BREAST W O W INCL CAD BIL File of Apr 1, 2026 · source file $2,808.04 $4,320.06 $1,209.62–$3,888.05 35%
Frederick Health Hospital both sides Frederick, MD · (240) 566-3300 MRI BREAST SCREEN BILAT WWO File of Mar 17, 2025 · source file $248.10 $253.16 $248.10–$253.16 2%
Frederick Health Hospital both sides Frederick, MD · (240) 566-3300 MRI BREAST BILATERAL W CONT+1 more line at this price File of Mar 17, 2025 · source file $1,221.41 $1,246.34 $1,221.41–$1,246.34 2%
Inova Mount Vernon Hospital both sides Alexandria, VA · (703) 664-7105 HC MRI BREAST W IV CONT BI File of Apr 1, 2026 · source file $1,304.50 $2,609.00 $580.28–$3,650.08 50%
Inova Alexandria Hospital both sides Alexandria, VA · (703) 504-3167 HC MRI BREAST W IV CONT BI File of Apr 1, 2026 · source file $1,304.50 $2,609.00 $580.28–$3,650.08 50%
Inova Fairfax Hospital both sides Falls Church, VA · (703) 698-1110 HC MRI BREAST W IV CONT BI File of Apr 1, 2026 · source file $1,304.50 $2,609.00 $580.28–$3,650.08 50%
Inova Fair Oaks Hospital both sides Fairfax, VA · (703) 391-4170 HC MRI BREAST W IV CONT BI File of Apr 1, 2026 · source file $1,304.50 $2,609.00 $580.28–$3,650.08 50%
Inova Loudoun Hospital both sides Leesburg, VA · (703) 858-6600 HC MRI BREAST W IV CONT BI File of Apr 1, 2026 · source file $1,304.50 $2,609.00 $580.28–$3,650.08 50%
Inova Loudoun Hospital both sides Leesburg, VA · (703) 858-6600 HC MRI BREAST WWO IV CONT BI File of Apr 1, 2026 · source file $1,366.00 $2,732.00 $580.28–$3,650.08 50%
Inova Fair Oaks Hospital both sides Fairfax, VA · (703) 391-4170 HC MRI BREAST WWO IV CONT BI File of Apr 1, 2026 · source file $1,366.00 $2,732.00 $580.28–$3,650.08 50%
Inova Alexandria Hospital both sides Alexandria, VA · (703) 504-3167 HC MRI BREAST WWO IV CONT BI File of Apr 1, 2026 · source file $1,366.00 $2,732.00 $580.28–$3,650.08 50%
Inova Mount Vernon Hospital both sides Alexandria, VA · (703) 664-7105 HC MRI BREAST WWO IV CONT BI File of Apr 1, 2026 · source file $1,366.00 $2,732.00 $580.28–$3,650.08 50%
Inova Fairfax Hospital both sides Falls Church, VA · (703) 698-1110 HC MRI BREAST WWO IV CONT BI File of Apr 1, 2026 · source file $1,366.00 $2,732.00 $580.28–$3,650.08 50%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Outpatient: lowest $849.32, median $2,610.03, highest $2,808.04 — a 3.3× difference within the same market.

Both sides : lowest $248.10, median $1,304.50, highest $1,304.50 — a 5.3× difference within the same market.

The two groups are not comparable and are not averaged together: a price for both sides of the body covers twice the work. Merging them is how a single published "median" ends up far above what one side actually costs.

As an inpatient, the same code is billed by 2 facilities here, median $2,629.99. 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 4 of 4 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 breast MRI, both breasts is, what the price covers and why prices differ: Breast MRI, both breasts explained.