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&WO
Summit, NJ
See all hospitals reporting HCPCS C8920 →Price type
Overlook Medical Center’s median price of $600 is 3% below the median hospital's median price ($616), higher than 47% of the 1,600 hospitals reporting HCPCS C8920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 47 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare omc tricare-east (humana military) fee schedule · both | $283 | $283 | — | — | — | $283 – $283 |
| 2 | Tricare omc tricare-east (humana military) fee schedule · outpatient | $283 | $283 | — | — | — | $283 – $283 |
| 3 | Tricare omc tricare contract fee schedule · both | $294 | $294 | — | — | — | $294 – $294 |
| 4 | Tricare omc tricare contract fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 5 | Aetna omc aetna ahs employee fee schedule · both | $294 | $294 | — | — | — | $294 – $294 |
| 6 | Aetna omc aetna ahs employee fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 7 | Aetna omc aetna medicare fee schedule · both | $390 | $390 | — | — | — | $390 – $390 |
| 8 | Aetna omc aetna nnj prime other · both | $390 | $390 | — | — | — | $390 – $390 |
| 9 | Anthem omc horizon braven other · both | $390 | $390 | — | — | — | $390 – $390 |
| 10 | Blue Cross Blue Shield omc horizon braven other · both | $390 | $390 | — | — | — | $390 – $390 |
| 11 | Cigna omc cigna medicare fee schedule · both | $390 | $390 | — | — | — | $390 – $390 |
| 12 | Highmark omc highmark wholecare / gateway health plan inc other · both | $390 | $390 | — | — | — | $390 – $390 |
| 13 | Highmark omc horizon braven other · both | $390 | $390 | — | — | — | $390 – $390 |
| 14 | WellCare omc wellcare phw other · both | $390 | $390 | — | — | — | $390 – $390 |
| 15 | WellCare omc wellcare/fedelis medicare other · both | $390 | $390 | — | — | — | $390 – $390 |
| 16 | Amerihealth Caritas omc amerihealth caritas other · both | $394 | $394 | — | — | — | $394 – $394 |
| 17 | Aetna omc aetna medicare fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 18 | UnitedHealthcare united tertiary fee schedule · both | $447 | $447 | — | — | — | $447 – $447 |
| 19 | UnitedHealthcare united tertiary fee schedule · outpatient | $449 | $449 | — | — | — | $449 – $449 |
| 20 | Cigna omc cigna local plus per diem · both | $499 | $499 | — | — | — | $499 – $499 |
| 21 | Cigna omc cigna local plus per diem · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 22 | Aetna omc aetna htc other · both | $546 | $546 | — | — | — | $546 – $546 |
| 23 | Blue Cross Blue Shield omc horizon omnia fee schedule · both | $552 | $552 | — | — | — | $552 – $552 |
| 24 | Cigna omc cigna oap per diem · both | $587 | $587 | — | — | — | $587 – $587 |
| 25 | Cigna omc cigna oap per diem · outpatient | $587 | $587 | — | — | — | $587 – $587 |
Last updated: Apr 1, 2026
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