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Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent cost in Ohio

$283
Cash from
$283
Cash range · 1 distinct price
$139
Insurer rates from
6
Hospitals

Lowest published amounts at each hospital, from each hospital's own price file. Newest file: Jun 2026; each row shows its own date.

Prices by hospital

HospitalCityCashInsurer fromData date
Children's Hospital Medical CenterMason$283$139Apr 2026198 days old
LUTHERAN HOSPITALCleveland—$307Jun 2026123 days old
Fairview HospitalCleveland—$323Jun 2026123 days old
The Cleveland Clinic FoundationBrunswick—$394Jun 2026122 days old
Metrohealth SystemCleveland—$630Apr 2026198 days old
McCullough-Hyde Memorial Hospital, Inc.Oxford—$1,193Apr 2026198 days old
Where this procedure name comes from

This is the HCPCS Level II descriptor published by CMS — a US government work in the public domain.

What the hospitals published for this code, in their own words:

  • Children's Hospital Medical CenterHb Hyperpolarized Xenon Mri
  • Fairview HospitalMri hyperpolarized xenon129
  • HEART HOSP OF AUSTINMagnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
  • HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCKMagnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
  • LUTHERAN HOSPITALMri hyperpolarized xenon129
  • McCullough-Hyde Memorial Hospital, Inc.Mri hyperpolarized xenon129
  • Metrohealth SystemMri hyperpolarized xenon129
  • ST DAVIDS REHABMagnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
  • ST. DAVID'S GEORGETOWN HOSPITALMagnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
  • ST. DAVID'S MEDICAL CENTERMagnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent

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