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 Wellmark 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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96 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $2,085 | $284.40 – $4,966 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $1,981 | $270.18 – $4,718 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $314.08 | $82.81 – $743.00 |
| 4 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $5,212 | $975.20 – $7,823 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5,212 | $975.20 – $7,823 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $315.38 | $83.82 – $752.14 |
| 7 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $447.92 | $104.02 – $858.19 |
| 8 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $342.90 | $230.12 – $752.14 |
| 9 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $950.62 | $724.60 – $1,116 |
| 10 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1,696 | $45.50 – $3,585 |
| 11 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $859.93 | $481.72 – $1,291 |
| 12 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,688 | $1,033 – $2,915 |
| 13 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both | 2 | $1,408 | $652.70 – $2,019 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2,137 | $2,137 – $2,137 |
| 15 | Keokuk County Health Center Sigourney, IA other · outpatient | 2 | $948.60 | $720.11 – $1,090 |
| 16 | Keokuk County Health Center Sigourney, IA percent of total billed charges · outpatientfrom % of charges | 1 | $1,166 | $682.22 – $1,925 |
| 17 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $2,307 | $2,307 – $2,307 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $91.62 | $91.62 – $91.62 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $528.10 | $93.73 – $962.46 |
| 20 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $1,020 | $638.79 – $1,361 |
| 21 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,143 | $1,026 – $3,665 |
| 22 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,736 | $831.43 – $2,970 |
| 23 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $317.32 | $84.28 – $756.26 |
| 24 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $317.32 | $84.28 – $756.26 |
| 25 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,582 | $560.72 – $2,717 |
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