The negotiated cost that Anthem pays for abdomen CT scans ranges from as little as $207 to $344 at Crystal Clear Imaging in Springfield, to as much as $1,308 to $1,445 at Springfield Regional Medical Center.he negotiated cost that Anthem pays for abdomen CT scans ranges from as little as $207 to $344 at Crystal Clear Imaging in Springfield, to as much as $1,308 to $1,445 at Springfield Regional Medical Center.
CMS has defined institutional provider to mean any provider or supplier that submits a paper Medicare enrollment application using the CMS-855A, CMS-855B (except physician and non-physician practitioner organizations), or CMS-855S or the associated Internet-based PECOS enrollment application.
Policy Statements 1. The College does not support provider based billing for care delivered in an outpatient, hospital-system owned practice when that care is not dependent on the hospital facility and its associated technologies. In addressing provider-based billing ACP recognizes the importance of balancing the needs of the community and the unintended consequences of abolishing provider-based billing. In many rural areas, hospitals and patients rely on the care provided in these settings.