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 AND WO CONTRAST
Valhalla, NY
See all hospitals reporting HCPCS C8920 →Price type
Westchester Medical Center’s median price of $823 is 34% above the median hospital's median price ($616), higher than 59% 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: 11 payers, 22 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 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 6 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $433 | $433 | — | — | — | $433 – $433 |
| 7 | Tricare tricare facility · fee schedule · outpatient | $435 | $435 | — | — | — | $435 – $435 |
| 8 | Oscar oscar medicare facility · fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 9 | Molina affinity by molina mcr facility · fee schedule · outpatient | $455 | $455 | — | — | — | $455 – $455 |
| 10 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 11 | UnitedHealthcare uhc compass facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 12 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 13 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $611 | $611 | — | — | — | $611 – $611 |
| 14 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 15 | Cigna cigna ppo facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 17 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 21 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 22 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jul 28, 2026
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