HCPCS C8920

Magnetic resonance angiography without contrast followed by with contrast, pelvis

Current codeMRI/MRA - Other38 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS C8920 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Highline Medical CenterBurienFile dated 2026-02-28	—	$1,605	$5,256
St Anthony HospitalGig HarborFile dated 2026-02-28	—	$1,599	$5,256
St Clare HospitalLakewoodFile dated 2026-02-28	—	$1,515	$5,256
St Elizabeth HospitalEnumclawFile dated 2026-02-28	$1,472 – $1,7435 plans	$1,857	$5,256
St Francis Community HospitalFederal WayFile dated 2026-02-28	—	$1,649	$5,256
St Joseph Medical CenterTacomaFile dated 2026-02-28	—	$1,741	$5,256
St Michael Medical CenterSilverdaleFile dated 2026-02-28	—	$2,320	$5,256
Virginia Mason Medical CenterSeattle	—	$856	$1,678

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national): $356 (APC 5572)
Surgery center payment (national): $193