RC 612
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 C-Spine W/O Cont
Low
$49
Average
$814
Median
$315
High
$4.9k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
276 hospitals; the 90th percentile is 7.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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311 hospital rates
iThe hospitals that file a Tricare 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $334 | $298 | $51 | 17% | 290–308 | $226 – $334 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $265 | $265 | $50 | 19% | 137 | $215 – $315 |
| 3 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $357 | $314 | $56 | 18% | 118–154 | $242 – $357 |
| 4 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $367 | $328 | $55 | 17% | 84–111 | $251 – $367 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 80–134 | $227 – $331 |
| 6 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 80–134 | $227 – $331 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $343 | $307 | $51 | 17% | 71–107 | $234 – $343 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $343 | $307 | $51 | 17% | 71–107 | $234 – $343 |
| 9 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $286 | $48 | 17% | 54–99 | $218 – $319 |
| 10 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $330 | $288 | $52 | 18% | 42–60 | $224 – $330 |
| 11 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $299 | $51 | 17% | 41–77 | $227 – $335 |
| 12 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $299 | $51 | 17% | 41–77 | $227 – $335 |
| 13 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 19–46 | $49 – $49 |
| 14 | The Children's Hospital of Alabama Birmingham, AL facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | 19–46 | $49 – $49 |
| 15 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $353 | $315 | $54 | 17% | 17–53 | $239 – $353 |
| 16 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $2.7k | $3.5k | $3.3k | 94% | 17–35 | $265 – $8.8k |
| 17 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $453 | $927 | $1.5k | 162% | 16–34 | $306 – $5.2k |
| 18 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $333 | $297 | $51 | 17% | 16–52 | $225 – $333 |
| 19 | Brigham and Women's Hospital Boston, MA other · both | 1 | $338 | $338 | $65 | 19% | 6–60 | $273 – $403 |
| 20 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $358 | $305 | $58 | 19% | 5–50 | $243 – $358 |
| 21 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $253 | $253 | $48 | 19% | 5–50 | $206 – $301 |
| 22 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $423 | $1.8k | $2.7k | 153% | 4–40 | $286 – $8.1k |
| 23 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.2k | $266 | 21% | 4–40 | $809 – $1.7k |
| 24 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $301 | $275 | $42 | 15% | 4–40 | $206 – $301 |
| 25 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $333 | $297 | $51 | 17% | 4–40 | $225 – $333 |
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