MR angiography of pelvis without contrast

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MRA W/O CONT PELVIS

Payers reporting HCPCS C8919

Payer pricing summary

Low

$146

Average

$1.0k

Median

$842

High

$4.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	582	$450	$543	$490	90%	—	$1 – $7.1k
2	Aetna fee schedule · outpatient · +28 other terms	430	$268	$583	$663	114%	—	$1 – $4.2k
3	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	327	$557	$777	$1.4k	180%	—	$1 – $28.4k
4	Humana fee schedule · outpatient · +26 other terms	251	$247	$448	$491	109%	—	$1 – $3.3k
5	Cigna fee schedule · outpatient · +25 other terms	243	$547	$767	$596	78%	—	$213 – $3.1k
6	Molina fee schedule · outpatient · +19 other terms	136	$315	$456	$1.0k	228%	—	$1 – $11.4k
7	WellCare fee schedule · outpatient · +15 other terms	121	$254	$291	$95	33%	—	$220 – $714
8	Anthem fee schedule · outpatient · +19 other terms	92	$529	$650	$459	71%	—	$117 – $4.7k
9	Kaiser fee schedule · outpatient · +18 other terms	75	$468	$635	$580	91%	—	$239 – $3.6k
10	Ambetter facility · fee schedule · outpatient · +14 other terms	63	$406	$413	$80	19%	—	$231 – $582
11	Devoted fee schedule · outpatient · +10 other terms	61	$253	$248	$14	6%	—	$217 – $268
12	MultiPlan fee schedule · outpatient · +14 other terms	45	$1.9k	$1.4k	$1.2k	88%	—	$227 – $4.1k
13	Oscar fee schedule · outpatient · +16 other terms	41	$497	$468	$103	22%	—	$281 – $681
14	Highmark facility · fee schedule · outpatient · +12 other terms	35	$482	$478	$284	59%	—	$177 – $1.5k
15	Optum fee schedule · outpatient · +14 other terms	34	$467	$705	$567	80%	—	$216 – $2.1k
16	Tricare fee schedule · outpatient · +11 other terms	34	$262	$286	$142	50%	—	$213 – $1.3k
17	Clover fee schedule · outpatient · +3 other terms	33	$264	$256	$18	7%	—	$215 – $288
18	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$807	$824	$340	41%	—	$227 – $1.7k
19	Medicare fee schedule · outpatient · +13 other terms	29	$239	$242	$13	5%	—	$227 – $307
20	Caresource fee schedule · outpatient · +13 other terms	28	$246	$284	$107	38%	—	$1 – $714
21	First Health fee schedule · outpatient · +13 other terms	24	$368	$787	$735	93%	—	$227 – $2.9k
22	Medicaid facility · fee schedule · outpatient · +10 other terms	20	$213	$220	$24	11%	—	$206 – $288
23	Amerihealth Caritas facility · fee schedule · outpatient · +9 other terms	19	$249	$364	$157	43%	—	$127 – $578
24	Healthcare Highways other · outpatient · +5 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k
25	Regence fee schedule · outpatient · +13 other terms	17	$466	$593	$384	65%	—	$268 – $2.8k

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