RC 614

MRI scan, other type at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

MR FETAL ADDL GEST

Austin, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $583 is 31% below the median hospital's median price ($846), higher than 33% of the 1,235 hospitals reporting RC 614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 614 at Ascension Seton

Negotiated rates from the hospital’s own file: 13 payers, 106 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	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$132	$132	$44	33%	—	$88 – $177
2	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges	$189	$189	$63	33%	—	$126 – $252
3	Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges	$265	$265	—	—	—	$265 – $265
4	Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges	$322	$322	$107	33%	—	$214 – $429
5	Humana 387_humana exchange 20160101 percent of total billed charges · outpatientfrom % of charges	$347	$347	—	—	—	$347 – $347
6	Humana 206_humana hmo custom 20140201 percent of total billed charges · outpatientfrom % of charges	$366	$366	—	—	—	$366 – $366
7	Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$378	$378	$126	33%	—	$252 – $504
8	Superior Healthplan 3510_chirp superior star (del) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$378	$378	$126	33%	—	$252 – $504
9	Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$378	$378	$126	33%	—	$252 – $504
10	Superior Healthplan 4376_chirp superior star plus (del) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$378	$378	$126	33%	—	$252 – $504
11	Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 percent of total billed charges · outpatientfrom % of charges	$426	$426	$142	33%	—	$284 – $567
12	Cigna 4476_cigna hmo (wil,del) 20250701 percent of total billed charges · outpatientfrom % of charges	$426	$426	$142	33%	—	$284 – $567
13	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges	$429	$429	—	—	—	$429 – $429
14	Aetna 3438_aetna aco ppo 20240701 percent of total billed charges · outpatientfrom % of charges	$445	$445	$148	33%	—	$296 – $593
15	Aetna 249_aetna ppo exchange 20140101 percent of total billed charges · outpatientfrom % of charges	$454	$454	$151	33%	—	$303 – $605
16	Aetna 4335_aetna sha aisd 20250101 percent of total billed charges · outpatientfrom % of charges	$454	$454	$151	33%	—	$303 – $605
17	Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges	$530	$530	$176	33%	—	$353 – $706
18	Aetna 551_aetna hmo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges	$558	$558	$186	33%	—	$372 – $744
19	Aetna 552_aetna ppo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges	$558	$558	$186	33%	—	$372 – $744
20	UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769
21	UnitedHealthcare 4502_united healthcare nexus city hmo (del) 20250701 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769
22	UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769
23	UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769
24	UnitedHealthcare 4505_united healthcare nexus city ppo (del) 20250701 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769
25	UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$577	$577	$192	33%	—	$385 – $769

Page 1 of 5 · 106 rates

Last updated: Jan 1, 2026

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