MRI angiography of pelvis without and with 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 Pelvis W&W/O Contrast

Payers reporting HCPCS C8920

Payer pricing summary

Low

$175

Average

$2.2k

Median

$1.3k

High

$20.1k

Payer rate distribution

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#
1	Medicare other · both · +13 other terms	34	$345	$367	$36	10%	4–40	$326 – $449
2	UnitedHealthcare fee schedule · outpatient · +28 other terms	588	$727	$759	$512	67%	—	$1 – $10.5k
3	Aetna fee schedule · outpatient · +29 other terms	439	$390	$714	$718	101%	—	$1 – $5.8k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	340	$851	$1.1k	$1.3k	123%	—	$1 – $28.4k
5	Humana fee schedule · outpatient · +27 other terms	260	$364	$567	$527	93%	—	$1 – $3.3k
6	Cigna fee schedule · outpatient · +26 other terms	248	$802	$974	$648	67%	—	$311 – $2.9k
7	Molina fee schedule · outpatient · +22 other terms	139	$447	$586	$1.0k	173%	—	$1 – $11.4k
8	WellCare fee schedule · outpatient · +17 other terms	123	$372	$418	$127	30%	—	$276 – $837
9	Anthem fee schedule · outpatient · +20 other terms	92	$707	$787	$526	67%	—	$185 – $4.3k
10	Kaiser fee schedule · outpatient · +20 other terms	79	$741	$971	$1.0k	103%	—	$349 – $6.4k
11	Devoted fee schedule · outpatient · +11 other terms	64	$372	$365	$21	6%	—	$318 – $396
12	Ambetter facility · fee schedule · outpatient · +15 other terms	63	$594	$606	$117	19%	—	$363 – $860
13	Tricare fee schedule · outpatient · +13 other terms	45	$372	$438	$453	104%	—	$142 – $4.1k
14	MultiPlan fee schedule · outpatient · +14 other terms	44	$1.1k	$1.6k	$1.4k	87%	—	$335 – $4.7k
15	Highmark facility · fee schedule · outpatient · +13 other terms	41	$713	$752	$471	63%	—	$259 – $2.1k
16	Oscar fee schedule · outpatient · +15 other terms	41	$727	$685	$150	22%	—	$411 – $996
17	Optum facility · fee schedule · outpatient · +14 other terms	35	$358	$455	$303	66%	—	$319 – $2.2k
18	Clover fee schedule · outpatient · +5 other terms	33	$390	$377	$28	7%	—	$315 – $421
19	Bcbs Tx fee schedule · outpatient · +4 other terms	32	$1.3k	$1.3k	$567	42%	—	$335 – $2.8k
20	Caresource fee schedule · outpatient · +14 other terms	29	$359	$397	$112	28%	—	$1 – $596
21	First Health fee schedule · outpatient · +16 other terms	24	$431	$1.1k	$996	92%	—	$335 – $2.7k
22	Medicaid facility · fee schedule · outpatient · +9 other terms	22	$328	$338	$41	12%	—	$304 – $426
23	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	21	$368	$436	$142	33%	—	$188 – $783
24	Healthcare Highways other · outpatient · +5 other terms	17	$1.2k	$1.2k	$22	2%	—	$1.1k – $1.2k
25	Regence fee schedule · outpatient · +14 other terms	17	$716	$908	$525	58%	—	$392 – $3.6k

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