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.
Original text from hospital filings
Mra Pelvis W&W/O Contrast
Low
$356
Average
$1.7k
Median
$1.3k
High
$3.8k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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28 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 2 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $857 | $842 | $25 | 3% | — | $807 – $866 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $937 | $919 | $29 | 3% | — | $879 – $947 |
| 6 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $2.3k | $2.3k | $94 | 4% | — | $2.2k – $2.4k |
| 7 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $2.3k | $2.3k | $94 | 4% | — | $2.2k – $2.4k |
| 8 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $2.3k | $2.3k | $94 | 4% | — | $2.2k – $2.4k |
| 9 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $2.3k | $2.3k | $94 | 4% | — | $2.2k – $2.4k |
| 10 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $2.3k | $2.3k | $94 | 4% | — | $2.2k – $2.4k |
| 11 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $356 | $356 | — | — | — | $356 – $356 |
| 12 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 18 | Potomac Hospital Corporation of Prince William Lake Ridge, VA facility · fee schedule · outpatient | 2 | $2.3k | $2.3k | $109 | 5% | — | $2.2k – $2.4k |
| 19 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Saint Marys Hospital Waterbury, CT facility · other · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $951 | $951 | — | — | — | $951 – $951 |
← Payers reporting HCPCS C8920 · Snapshot 20261111T120946Z-9134e7f7