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

Kyle, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $536 is 37% below the median hospital's median price ($846), higher than 29% 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, 100 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	$88	$120	$41	34%	—	$79 – $177
2	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges	$126	$172	$59	34%	—	$113 – $252
3	Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges	$259	$255	$11	4%	—	$237 – $265
4	Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges	$214	$292	$100	34%	—	$192 – $429
5	Humana 387_humana exchange 20160101 percent of total billed charges · outpatientfrom % of charges	$339	$334	$15	4%	—	$310 – $347
6	Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$252	$344	$118	34%	—	$226 – $504
7	Superior Healthplan 3512_chirp superior star (hay) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$252	$344	$118	34%	—	$226 – $504
8	Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$252	$344	$118	34%	—	$226 – $504
9	Superior Healthplan 4378_chirp superior star plus (hay) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$252	$344	$118	34%	—	$226 – $504
10	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges	$344	$344	—	—	—	$344 – $344
11	Humana 206_humana hmo custom 20140201 percent of total billed charges · outpatientfrom % of charges	$357	$352	$16	4%	—	$327 – $366
12	Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 percent of total billed charges · outpatientfrom % of charges	$284	$387	$133	34%	—	$254 – $567
13	Cigna 4476_cigna hmo (wil,del) 20250701 percent of total billed charges · outpatientfrom % of charges	$284	$387	$133	34%	—	$254 – $567
14	Aetna 3438_aetna aco ppo 20240701 percent of total billed charges · outpatientfrom % of charges	$296	$404	$139	34%	—	$265 – $593
15	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges	$419	$413	$19	4%	—	$384 – $429
16	Aetna 249_aetna ppo exchange 20140101 percent of total billed charges · outpatientfrom % of charges	$303	$413	$142	34%	—	$271 – $605
17	Aetna 4335_aetna sha aisd 20250101 percent of total billed charges · outpatientfrom % of charges	$303	$413	$142	34%	—	$271 – $605
18	Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges	$353	$481	$165	34%	—	$316 – $706
19	Aetna 551_aetna hmo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges	$372	$507	$174	34%	—	$333 – $744
20	Aetna 552_aetna ppo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges	$372	$507	$174	34%	—	$333 – $744
21	UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges	$385	$524	$180	34%	—	$344 – $769
22	UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$385	$524	$180	34%	—	$344 – $769
23	UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 percent of total billed charges · bothfrom % of charges	$385	$524	$180	34%	—	$344 – $769
24	UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$385	$524	$180	34%	—	$344 – $769
25	UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges	$385	$524	$180	34%	—	$344 – $769

Page 1 of 4 · 100 rates

Last updated: Jan 1, 2026

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