Seattle Children's Hospital
SeattleKing CountyChildrens
Pelvis blood vessel MRI (MRA)
Quality: not rated by CMSEarliest available date: call (206) 987-2000
What you may pay
- With insurance from an employer or private plan
- $141 – $6,693
- Paying yourself (cash price)
- $352 – $6,972
Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).
Bills to expect
A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (King County) and an estimate for private plans.
| Bill | Who sends it | How likely | Status | Traditional Medicare allows | Private plans (estimate) |
|---|---|---|---|---|---|
| Hospital's fee | The hospital | Expected | Published by the hospital: the prices above | — | — |
| Radiologist | The radiology group | Expected | Billed separately; amount estimated | $89 | $105 to $159 |
| Ordering doctor's visit | Your doctor | Possible | Billed separately; not priced | — | — |
What you’d pay for these bills
You pay about $57 to $68 of about $287 to $341 billed to your plan.
How each bill comes to you
Hospital's fee
- The provider's charge
- Not published
- Allowed amount
- $182
- Your plan pays
- $146
- Your coinsurance
- $36.40
- You owe
- $36.40
Radiologist
- The provider's charge
- Not published
- Allowed amount
- $105
- Your plan pays
- $83.80
- Your coinsurance
- $20.95
- You owe
- $20.95
- All bills: allowed amounts
- $287
- Your plan pays
- $229
- You owe in all
- $57.35
Who owes what, and when you might owe more
- The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
- Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
- Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
- Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
- Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
- Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
- Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
- Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
- A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
- Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
- Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
- If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.
Get it confirmed before your care
The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.
Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.
Seattle Children's Hospital
Request to send
Subject: Estimate request: pelvis blood vessel mri (mra) at Seattle Children's Hospital Hello, I am planning a pelvis blood vessel mri (mra) (billing code CPT 72198) at Seattle Children's Hospital. Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use. Name: [YOUR NAME] Date of birth: [DATE OF BIRTH] Insurance: [PLAN NAME], member ID [MEMBER ID] Planned date: [DATE, IF KNOWN] Thank you.
If you call. Call (206) 987-2000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my pelvis blood vessel mri (mra)."
520 published prices, grouped by who each price applies to.
Cash price 4 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $352 | Hospital’s fee | MR Angio Pelvis(Mra) | — | Inpatient or outpatient | — |
| $4,761 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | — | Inpatient or outpatient | — |
| $5,029 | Hospital’s fee | Mra Angio Pelvis With Contrast | — | Outpatient | — |
| $6,972 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | — | Inpatient or outpatient | — |
List price (before discounts) 5 prices
| Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|
| $352 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | — | Inpatient or outpatient | — |
| $352 | Hospital’s fee | MR Angio Pelvis(Mra) | — | Inpatient or outpatient | — |
| $4,761 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | — | Inpatient or outpatient | — |
| $5,029 | Hospital’s fee | Mra Angio Pelvis With Contrast | — | Outpatient | — |
| $6,972 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | — | Inpatient or outpatient | — |
Commercial insurance 399 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| ADMINISTRATORS [13102] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice EHN | $3,809 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice EHN | $4,023 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ADMINISTRATORS [13102] | First Choice EHN | $5,578 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ADMINISTRATORS [13102] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PSHVN | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice PSHVN | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ADMINISTRATORS [13102] | First Choice PSHVN | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice Puget Sound High Value | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ADMINISTRATORS [13102] | First Choice Puget Sound High Value | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| AETNA [11000] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| AETNA [11000] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| AETNA [11000] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALLEGIANCE [12264] | Cigna PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ALLEGIANCE [12264] | Cigna PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALLIED [13129] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ALLIED [13129] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALTIUS HEALTH PLAN [12275] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ALTIUS HEALTH PLAN [12275] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ALTIUS HEALTH PLAN [12275] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| AMERIBEN [11006] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| AMERIBEN [11006] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| AMERIBEN [11006] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| AMERIBEN [11006] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ASSURANT HEALTH FC [13135] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11900] | Regence PPO | $3,951 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11900] | Regence PPO | $4,174 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ASURIS [11900] | Regence PPO | $5,787 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11913] | Regence Exchange | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ASURIS [11913] | Regence Exchange | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ASURIS [11913] | Regence Exchange | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| BLUECROSS/SHIELD [11902] | Regence PPO | $3,951 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| BLUECROSS/SHIELD [11902] | Regence PPO | $4,174 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| BLUECROSS/SHIELD [11902] | Regence PPO | $5,787 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Exchange | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Exchange | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| BRIDGESPAN HEALTH COMPANY [11906] | Regence Exchange | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CARPENTERS TRUST [13100] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CARPENTERS TRUST [13100] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CARPENTERS TRUST [13100] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Cascade Care | $141 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Cascade Care | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Public Option | $2,618 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHPW CASCADE [12228] | CHPW Public Option | $2,766 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CHPW CASCADE [12228] | CHPW Public Option | $3,835 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CHRISTIAN BROTHERS [11001] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna Narrow Network | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna Narrow Network | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CIGNA [12204] | Cigna Narrow Network | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CIGNA [12204] | Cigna PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CLARITEV [12299] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CLARITEV [12299] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COASTAL ADMINISTRATIVE [13140] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Ambetter | $142 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Ambetter | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Exchange | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Exchange | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Exchange | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $142 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $2,618 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $2,766 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COORDINATED CARE [12267] | Coordinated Care Public Option | $3,835 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CORESOURCE [11004] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CORESOURCE [11004] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CORESOURCE [11004] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CORESOURCE [11004] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY FC [13112] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY FC [13112] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COVENTRY FC [13112] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY MHBP [12272] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY MHBP [12272] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COVENTRY MHBP [12272] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY [12244] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COVENTRY [12244] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COVENTRY [12244] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS FC [13144] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| EBMS FC [13144] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [11003] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EBMS [11003] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [11003] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| EBMS [11003] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EBMS [12241] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| EBMS [12241] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| FIRST CHOICE [13399] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| FIRST CHOICE [13399] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| FIRST HEALTH [12210] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| FIRST HEALTH [12210] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| FIRST HEALTH [12210] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| GUARDIAN FC [13105] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| GUARDIAN FC [13105] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| GUARDIAN FC [13105] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HCC MEDICAL [12274] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HCC MEDICAL [12274] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| HCC MEDICAL [12274] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| HEALTH ALLIANCE [12266] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| HEALTH ALLIANCE [13233] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HUMANA [12224] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| HUMANA [12224] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ILWU-PMA [13158] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ILWU-PMA [13158] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser Exchange | $2,618 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser Exchange | $2,766 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KAISER [13400] | Kaiser Exchange | $3,835 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser HMO | $3,095 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser HMO | $3,269 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KAISER [13400] | Kaiser HMO | $4,532 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser PPO | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser PPO | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KAISER [13400] | Kaiser PPO | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser HMO | $3,095 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser HMO | $3,269 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KAISER [13401] | Kaiser HMO | $4,532 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KEY BENEFIT ADMIN [12276] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KPS [13109] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KPS [13109] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KPS [13109] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| LEWERMARK [12286] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| LEWERMARK [12286] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| LEWERMARK [12286] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| LOOMIS BENEFITS WEST [13161] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MEDICAL MUTUAL [12233] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEDISHARE [12287] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEDISHARE [12287] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MEDISHARE [12287] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEGA LIFE [13111] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEGA LIFE [13111] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MEGA LIFE [13111] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN HEALTH [13229] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MERITAIN HEALTH [13229] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MERITAIN [12251] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MERITAIN [12251] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MERITAIN [12251] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MERITAIN [12251] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA FC [13219] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MODA FC [13219] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA [11009] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA [11009] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MODA [11009] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA [12842] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MODA [12842] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Exchange | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Exchange | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Exchange | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Marketplace Exchange | $148 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MOLINA MARKETPLACE [12831] | Molina Marketplace Exchange | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MYERS STEVENS & TOOHEY [13169] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| NIPPON LIFE INSURANCE [12232] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PACIFIC UNDERWRITERS [13175] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PACIFICSOURCE [12245] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PACIFICSOURCE [12245] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PACIFICSOURCE [12245] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PEHP [12235] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PEHP [12235] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY CONTRACTED [12205] | 6 Degrees Health | $4,285 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY CONTRACTED [12205] | 6 Degrees Health | $4,526 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PERSONIFY CONTRACTED [12205] | 6 Degrees Health | $6,275 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY FC [13155] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PERSONIFY FC [13155] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PERSONIFY [12270] | Cigna PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PERSONIFY [12270] | Cigna PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREFERRED ONE [11008] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREFERRED ONE [11008] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREFERRED ONE [11008] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREFERRED ONE [11008] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREFERREDONE ADMIN SERVICES [12236] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera BC Heritage Prime | $188 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera BC Heritage Signature/Lifewise | $188 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Exchange | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Exchange | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREMERA [11600] | Premera Exchange | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera HMO | $3,237 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera HMO | $3,419 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREMERA [11600] | Premera HMO | $4,741 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Narrow Network | $3,475 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Narrow Network | $3,671 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREMERA [11600] | Premera Narrow Network | $5,090 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera PPO | $3,951 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera PPO | $4,174 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREMERA [11600] | Premera PPO | $5,787 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Public Option | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Public Option | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PREMERA [11600] | Premera Public Option | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PRINCIPAL MUTUAL FC [13115] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PRINCIPAL MUTUAL FC [13115] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PRINCIPAL MUTUAL FC [13115] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PROVIDENCE HEALTH PLAN [13181] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PSEW [13124] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| PSEW [13124] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| PSEW [13124] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $172 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $3,095 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $3,269 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| REGENCE UMP [12263] | Regence UMP | $4,532 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence Exchange | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence Exchange | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| REGENCE [11903] | Regence Exchange | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence PPO | $3,951 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence PPO | $4,174 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| REGENCE [11903] | Regence PPO | $5,787 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11909] | Regence Exchange | $2,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11909] | Regence Exchange | $2,715 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| REGENCE [11909] | Regence Exchange | $3,765 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| REHN & ASSOCIATES [13182] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| RURAL CARRIER BENEFIT PLAN [12271] | First Health PPO | $4,570 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| RURAL CARRIER BENEFIT PLAN [12271] | First Health PPO | $4,827 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| RURAL CARRIER BENEFIT PLAN [12271] | First Health PPO | $6,693 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| SAMARITAN HEALTH [12265] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| SAMARITAN HEALTH [12265] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan | $282 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan PPO | $4,523 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| SELECT HEALTH [12277] | Multiplan PPO | $4,777 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| SELECT HEALTH [12277] | Multiplan PPO | $6,624 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| SOUND HEALTH AND WELLNESS [13116] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| SOUND HEALTH AND WELLNESS [13116] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| SOUND HEALTH AND WELLNESS [13116] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| STARMARK [13103] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| STARMARK [13103] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| TONGASS TIMBER TRUST [13202] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTEED PLANS [13186] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| TRUSTEED PLANS [13186] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| TRUSTMARK LIFE INSURANCE [13203] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Exchange | $222 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UMR [12246] | United Exchange | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Healthcare | $222 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UMR [12246] | United Healthcare | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Narrow Network | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United Narrow Network | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UMR [12246] | United Narrow Network | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UMR [12246] | United PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UMR [12246] | United PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $222 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE [12201] | United Exchange | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $213 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE [12201] | United HMO | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Narrow Network | $3,571 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Narrow Network | $3,771 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE [12201] | United Narrow Network | $5,229 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE [12201] | United PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WEB TPA [11007] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WEB TPA [11007] | Aetna PPO | $3,999 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WEB TPA [11007] | Aetna PPO | $4,224 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| WEB TPA [11007] | Aetna PPO | $5,857 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WELFARE PENSION [13120] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| WELFARE PENSION [13120] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WSHIP [13121] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| WSHIP [13121] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice | $195 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice | $282 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ZENITH AMERICAN SOLUTIONS [13195] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH [13123] | First Choice PPO | $4,047 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ZENITH [13123] | First Choice PPO | $4,274 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ZENITH [13123] | First Choice PPO | $5,926 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
Medicaid managed care 54 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| CHPW [15802] | CHPW Apple Health | $50.06 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHPW [15802] | CHPW Apple Health | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| CHPW [15802] | CHPW Apple Health | $1,236 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHPW [15802] | CHPW Apple Health | $1,305 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CHPW [15802] | CHPW Apple Health | $1,810 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COORDINATED CARE [15815] | Coordinated Care Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| EYE QUEST [15894] | Amerigroup Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $53.46 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ICW UHC [15812] | United Community Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| ICW WELLPOINT [15822] | Amerigroup Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $1,224 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [15818] | Molina Apple Health | $1,293 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| KAISER [15818] | Molina Apple Health | $1,792 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $1,224 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MOLINA [15809] | Molina Apple Health | $1,293 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MOLINA [15809] | Molina Apple Health | $1,792 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| OPTICARE [15895] | Coordinated Care Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United BH Community Apple Health | $1,548 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United BH Community Apple Health | $1,635 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UBH COMMUNITY & STATE [15819] | United BH Community Apple Health | $2,267 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United Community Apple Health | $53.46 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UBH COMMUNITY & STATE [15819] | United Community Apple Health | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United BH Community Apple Health | $1,548 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United BH Community Apple Health | $1,635 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United BH Community Apple Health | $2,267 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $53.46 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED HEALTHCARE COMMUNITY PLAN [15816] | United Community Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $1,260 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $1,331 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| WELLPOINT [15814] | Amerigroup Apple Health | $1,845 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
Medicaid (state program) 5 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| MEDICAID WA [14900] | Washington Medicaid | $48.60 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $158 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $1,200 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $1,267 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MEDICAID WA [14900] | Washington Medicaid | $1,757 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
Other government program 5 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| USFHP [12208] | Pac Med | $102 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| USFHP [12208] | Pac Med | $246 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| USFHP [12208] | Pac Med | $1,952 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| USFHP [12208] | Pac Med | $2,062 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| USFHP [12208] | Pac Med | $2,859 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
Unknown 48 prices
| Payer | Plan | Price | Part of the bill | Hospital’s description | How it’s set | Setting | Source date |
|---|---|---|---|---|---|---|---|
| AETNA [11000] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASURIS [11900] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| ASURIS [11913] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $48.60 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $158 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $1,200 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $1,267 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| CHILD HEARING LEAGUE [17301] | Washington Medicaid | $1,757 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| CIGNA [12204] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMIN SVCS CONTRACTED [12222] | 6 Degrees Health | $4,285 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| COASTAL ADMIN SVCS CONTRACTED [12222] | 6 Degrees Health | $4,526 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| COASTAL ADMIN SVCS CONTRACTED [12222] | 6 Degrees Health | $6,275 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Eyequest | $55.89 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| EYE QUEST [15894] | Amerigroup Eyequest | $182 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $48.60 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $158 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $1,200 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $1,267 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| HOSPICE [17306] | Washington Medicaid | $1,757 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser | $202 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [13400] | Kaiser | $246 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser | $202 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| KAISER [13401] | Kaiser | $246 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $48.60 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $158 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $1,200 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $1,267 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| MAPLE LANE SCHOOL [17309] | Washington Medicaid | $1,757 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| MODA [11009] | Aetna | $190 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Vision | $51.03 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| OPTICARE [15895] | Coordinated Care Vision | $166 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PB CIGNA CRD [12283] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PB CIGNA CRD [12283] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| PB PREMERA [11601] | Premera Blue Cross | $188 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PB REGENCE [11908] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PREMERA [11600] | Premera Blue Cross | $188 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| PROVIDENCE HEALTH PLAN [12289] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| REGENCE [11903] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| REGENCE [11909] | Regence Blue Shield | $182 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna | $208 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| TUFTS HEALTH PLAN [12279] | Cigna | $176 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
| UNITED BEHAVIORAL HEALTH [12234] | United Behavioral Health | $4,190 | Hospital’s fee | Mra Angio Pelvis W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED BEHAVIORAL HEALTH [12234] | United Behavioral Health | $4,425 | Hospital’s fee | Mra Angio Pelvis With Contrast | percent of total billed charges | Outpatient | — |
| UNITED BEHAVIORAL HEALTH [12234] | United Behavioral Health | $6,136 | Hospital’s fee | Mra Angio Pelvis W+W/O Contrast | percent of total billed charges | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Healthcare | $222 | Doctor’s fee | MR Angio Pelvis(Mra)|PROFESSIONAL COMPONENT | fee schedule | Inpatient or outpatient | — |
| UNITED HEALTHCARE [12201] | United Healthcare | $264 | Hospital’s fee | MR Angio Pelvis(Mra) | percent of total billed charges | Inpatient or outpatient | — |
Doctors here who do this procedure
We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).
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