MRI angiography of pelvis without and with contrast at Samaritan Hospital

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.

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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

HC Mra Pelvis W/O & W/Contrast

Troy, NY

See all hospitals reporting HCPCS C8920 →

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How this price compares nationally

Samaritan Hospital’s median price of $3.1k is 396% above the median hospital's median price ($616), higher than 93% of the 1,600 hospitals reporting HCPCS C8920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS C8920 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 37 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	WellCare wellcare ep 1&2 medicaid facility · fee schedule · both	$386	$386	—	—	—	$386 – $386
2	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$415	$415	—	—	—	$415 – $415
3	Anthem empire bcbs medicare advantage facility · other · both	$427	$427	—	—	—	$427 – $427
4	UnitedHealthcare united healthcare medicare advantage facility · other · both	$444	$444	—	—	—	$444 – $444
5	Aetna aetna medicare advantage facility · other · both	$461	$461	—	—	—	$461 – $461
6	WellCare wellcare medicare advantage facility · other · both	$476	$476	—	—	—	$476 – $476
7	Excellus blue shield of ne new york medicare adv facility · other · both	$479	$479	—	—	—	$479 – $479
8	Highmark blue shield of ne new york medicare adv facility · other · both	$479	$479	—	—	—	$479 – $479
9	Anthem empire medicaid facility · fee schedule · both	$535	$535	—	—	—	$535 – $535
10	Excellus empire medicaid facility · fee schedule · both	$535	$535	—	—	—	$535 – $535
11	Anthem empire bcbs blue access facility · other · both	$901	$901	—	—	—	$901 – $901
12	Anthem empire bcbs hmo epo ppo indemnity facility · other · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
13	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
14	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
15	Wellmark empire bcbs hmo epo ppo indemnity facility · other · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
16	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
17	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Cigna cigna facility · case rate · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
20	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
21	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
22	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
23	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
24	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k
25	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$3.1k	$3.1k	—	—	—	$3.1k – $3.1k

Page 1 of 2 · 37 rates

Last updated: Mar 31, 2026

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