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.
Provider-Sponsored Organization (PSO) Law & Legal Definition. A provider-sponsored organization (PSO) is a managed care contracting and delivery organization consisting of a group of doctors, hospitals, and other health care providers who accept full risk for beneficiaries' lives. PSO is owned and governed by health care providers such as physicians, hospitals, or allied health professionals and not by an insurance company. PSO may be either profit or not-for-profit entities, or public or private entities. PSO through its network, supplies all medical services required by medicare law.