RC 610
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MRI Lwr Ext Nonjoint Wow Cntrst|BILATERAL PROCEDURE
The hospitals that file a Excellus rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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41 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alice Hyde Medical Center Malone, NY facility · fee schedule · outpatient | 2 | $678.17 | $127.74 – $2,708 |
| 2 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1,705 | $112.53 – $4,296 |
| 3 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · fee schedule · outpatient | 3 | $837.86 | $152.07 – $4,584 |
| 4 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,873 | $59.20 – $4,150 |
| 5 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $586.88 | $31.53 – $1,757 |
| 6 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 7 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2,501 | $30.02 – $5,822 |
| 8 | Highland Hospital Rochester, NY fee schedule · outpatient | 6 | $694.43 | $14.52 – $7,492 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2,137 | $2,137 – $2,137 |
| 10 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $1,497 | $0.44 – $2,406 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $2,307 | $2,307 – $2,307 |
| 12 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $91.62 | $91.62 – $91.62 |
| 13 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $528.10 | $93.73 – $962.46 |
| 14 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $891.26 | $891.26 – $891.26 |
| 15 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 16 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 17 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 18 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 19 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $2,053 | $2,053 – $2,053 |
| 20 | Plymouth Medical Center Plymouth, IN facility · other · both | 1 | $891.26 | $891.26 – $891.26 |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $73.42 | $22.44 – $159.25 |
| 22 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $423.87 | $36.21 – $1,458 |
| 23 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $3,735 | $3,735 – $3,735 |
| 24 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $142.54 | $15.30 – $615.90 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $1,441 | $656.02 – $2,454 |
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