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
$267
Average
$1.3k
Median
$1.1k
High
$4.4k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 8.0× 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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138 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $663 | $583 | $137 | 24% | 37–46 | $390 – $695 |
| 2 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.4k | $1.2k | 48% | 4–40 | $1.1k – $4.0k |
| 3 | Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient | 1 | $333 | $356 | $33 | 9% | 3–30 | $333 – $403 |
| 4 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $360 | $457 | $138 | 30% | 3–30 | $360 – $653 |
| 5 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $316 | $316 | $15 | 5% | 2–20 | $301 – $331 |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $372 | $343 | $51 | 15% | 2–20 | $255 – $372 |
| 7 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.1k | $2.2k | $1.2k | 54% | 2–20 | $915 – $3.8k |
| 8 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.5k | $1.4k | 57% | 2–20 | $953 – $4.4k |
| 9 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $2.4k | $2.4k | $1.2k | 51% | 2–20 | $1.1k – $4.6k |
| 10 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.1k | $2.3k | $1.2k | 52% | 2–20 | $955 – $4.0k |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $334 | $291 | $52 | 18% | 1–10 | $228 – $334 |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $372 | $325 | $58 | 18% | 1–10 | $255 – $372 |
| 13 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.3k | $998 | 43% | 1–10 | $1.1k – $3.9k |
| 14 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.4k | $1.0k | 43% | 1–10 | $1.2k – $4.0k |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $336 | $300 | $51 | 17% | — | $227 – $336 |
| 16 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $356 | $311 | $55 | 18% | — | $244 – $356 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 3 | $850 | $723 | $246 | 34% | — | $191 – $879 |
| 18 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $356 | $311 | $55 | 18% | — | $244 – $356 |
| 19 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · outpatient | 2 | $356 | $417 | $86 | 21% | — | $356 – $538 |
| 20 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $334 | $291 | $52 | 18% | — | $228 – $334 |
| 21 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · outpatient | 1 | $334 | $334 | — | — | — | $334 – $334 |
| 22 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.4k | $2.4k | $415 | 17% | — | $2.0k – $2.8k |
| 23 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $340 | $303 | $52 | 17% | — | $230 – $340 |
| 24 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $300 | $300 | $56 | 19% | — | $244 – $356 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $867 | $697 | $241 | 35% | — | $356 – $867 |
← Payers reporting RC 615 · Snapshot 20261111T120946Z-9134e7f7