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 SPINE THORACIC W WO CONT
Arlington, TX
See all hospitals reporting RC 612 →Price type
AMH Cath Labs LLC’s median price of $1.5k is 42% above the median hospital's median price ($1.1k), higher than 62% of the 1,772 hospitals reporting RC 612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $277 | $265 | $62 | 23% | — | $196 – $330 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $277 | $265 | $62 | 23% | — | $196 – $330 |
| 3 | WellCare managed medicaid fee schedule · outpatient | $290 | $278 | $65 | 23% | — | $206 – $347 |
| 4 | Molina managed medicaid fee schedule · outpatient | $299 | $286 | $67 | 23% | — | $212 – $357 |
| 5 | Aetna managed medicaid fee schedule · outpatient | $304 | $292 | $68 | 23% | — | $216 – $364 |
| 6 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $351 | $303 | $55 | 18% | — | $240 – $351 |
| 7 | Humana medicare advantage case rate · outpatient | $365 | $316 | $57 | 18% | — | $250 – $365 |
| 8 | Humana medicare advantage ppo case rate · outpatient | $365 | $316 | $57 | 18% | — | $250 – $365 |
| 9 | Molina medicare advantage case rate · outpatient | $369 | $319 | $58 | 18% | — | $252 – $369 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $369 | $319 | $58 | 18% | — | $252 – $369 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $386 | $334 | $60 | 18% | — | $264 – $386 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $390 | $337 | $61 | 18% | — | $266 – $390 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $397 | $343 | $62 | 18% | — | $271 – $397 |
| 14 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1.3k | $1.1k | $249 | 23% | — | $787 – $1.3k |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1.4k | $1.2k | $274 | 23% | — | $867 – $1.4k |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1.4k | $1.2k | $276 | 23% | — | $874 – $1.4k |
| 17 | Aetna whole health case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare all payer case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Aetna commercial case rate · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | UnitedHealthcare ppo case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Cigna oap/hmo case rate · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Cigna ppo case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Blue Cross Blue Shield traditional fee schedule · outpatient | $2.7k | $2.3k | $522 | 23% | — | $1.7k – $2.7k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.3k | $472 | 14% | — | $2.8k – $3.8k |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.3k | $476 | 14% | — | $2.8k – $3.8k |
Last updated: Apr 21, 2026
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