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CPT C8920

Mra w/o fol w/cont- pelvis

Reported by 37 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$253

Average

$713

Median

$367

High

$3.9k

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$272$401$710$1.3k$420
2Saint Alphonsus Regional Medical Center - BoiseBoise, ID$160$3.9k$3.9k$3.9k—
3Holy Cross Hospital-Ft. LauderdaleFt. Lauderdale, FL$357$2.1k$2.1k$3.8k$206
4Plymouth Medical CenterPlymouth, IN$191$1.1k$1.1k$5.3k—
5Mishawaka Medical CenterMishawaka, IN$191$1.1k$1.1k$5.3k—
6St Peters HospitalAlbany, NY$238$1.7k$1.5k$5.6k$234
7Samaritan HospitalTroy, NY$241$1.7k$1.5k$5.6k$234
8Mount Carmel New Albany Surgical HospitalNew Albany, OH$296$632$632$2.9k—
9Mount Carmel Grove CityGrove City, OH$290$632$632$2.9k—
10Diley Ridge Medical CenterCanal Winchester, OH$296$632$632$2.9k—
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