RC 615
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
HC MRA HEAD W/O CONTRAST
Low
$115
Average
$451
Median
$304
High
$4.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
205 hospitals; the 90th percentile is 3.4× 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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218 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 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $357 | $315 | $56 | 18% | 3–30 | $242 – $357 |
| 2 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 2–20 | $227 – $331 |
| 3 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $331 | $297 | $49 | 17% | 2–20 | $227 – $331 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $299 | $51 | 17% | 2–20 | $227 – $335 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $335 | $299 | $51 | 17% | 2–20 | $227 – $335 |
| 6 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $334 | $288 | $53 | 19% | 2–20 | $226 – $334 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.8k | $393 | 21% | 1–10 | $1.5k – $2.4k |
| 8 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $367 | $328 | $55 | 17% | 1–10 | $251 – $367 |
| 9 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $286 | $48 | 17% | 1–10 | $218 – $319 |
| 10 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.2k | $228 | 19% | 1–10 | $932 – $1.6k |
| 11 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $330 | $295 | $50 | 17% | 1–10 | $224 – $330 |
| 12 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $333 | $297 | $51 | 17% | 1–10 | $225 – $333 |
| 13 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $333 | $297 | $51 | 17% | 1–10 | $225 – $333 |
| 14 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $333 | $297 | $51 | 17% | 1–10 | $225 – $333 |
| 15 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $253 | $253 | — | — | 1–10 | $253 – $253 |
| 16 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $272 | $272 | $52 | 19% | — | $220 – $325 |
| 17 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $303 | $267 | $46 | 17% | — | $207 – $303 |
| 18 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | $253 | 17% | — | $1.3k – $2.0k |
| 19 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $253 | 17% | — | $1.3k – $2.0k |
| 20 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 1 | $4.4k | $4.1k | $2.1k | 51% | — | $1.2k – $8.0k |
| 21 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.1k | $2.1k | 51% | — | $1.2k – $8.0k |
| 22 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $2.3k | $2.7k | $831 | 31% | — | $2.1k – $4.4k |
| 23 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $325 | $284 | $50 | 18% | — | $222 – $325 |
| 24 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $198 | $232 | $50 | 22% | — | $187 – $300 |
| 25 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.3k | $213 | 16% | — | $1.1k – $1.6k |
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