RC 614
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 MRI, Tmj - MR Temporomandibular Joints WO IV Contrast
Falls, MT
See all hospitals reporting RC 614 →Price type
Benefis Hospitals Inc’s median price of $2.1k is 151% above the median hospital's median price ($849), higher than 84% of the 1,251 hospitals reporting RC 614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 30 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 | Aetna bhs hb medicare other · outpatient | $356 | $383 | $180 | 47% | — | $244 – $801 |
| 2 | Anthem bhs hb medicare other · outpatient | $356 | $383 | $180 | 47% | 2–20 | $244 – $801 |
| 3 | Kaiser bhs hb medicare other · outpatient | $356 | $383 | $180 | 47% | — | $244 – $801 |
| 4 | WellCare bhs hb medicare other · outpatient | $356 | $383 | $180 | 47% | — | $244 – $801 |
| 5 | Healthpartners bhs hb allegiance fee schedule · outpatient | $352 | $386 | $121 | 31% | — | $189 – $683 |
| 6 | Kaiser bhs hb allegiance fee schedule · outpatient | $352 | $386 | $121 | 31% | — | $189 – $683 |
| 7 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $352 | $386 | $121 | 31% | — | $189 – $683 |
| 8 | Cigna bhs hb allegiance fee schedule · outpatient | $352 | $386 | $121 | 31% | — | $189 – $683 |
| 9 | Tricare bhs hb tricare other · outpatient | $357 | $426 | $192 | 45% | 33–204 | $242 – $855 |
| 10 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $356 | $445 | $263 | 59% | 26–107 | $244 – $1.1k |
| 11 | Medicare bhs hb medicare other · outpatient | $356 | $464 | $220 | 47% | 343–505 | $244 – $855 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $437 | $466 | $139 | 30% | — | $254 – $798 |
| 13 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $1.4k | $1.4k | $408 | 30% | — | $816 – $2.1k |
| 14 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $1.8k | $1.8k | $544 | 30% | — | $1.1k – $2.8k |
| 15 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo fee schedule · outpatient | $1.8k | $1.8k | $544 | 30% | — | $1.1k – $2.8k |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.0k | $588 | 29% | — | $1.0k – $3.2k |
| 17 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | $678 | 29% | — | $1.2k – $3.7k |
| 18 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.5k | $723 | 29% | — | $1.3k – $3.9k |
| 19 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | $736 | 29% | — | $1.3k – $4.0k |
| 20 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | $769 | 29% | — | $1.3k – $4.2k |
| 21 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | $769 | 29% | — | $1.3k – $4.2k |
| 22 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges | $2.8k | $2.7k | $778 | 29% | — | $1.3k – $4.2k |
| 23 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.8k | $815 | 29% | — | $1.4k – $4.4k |
| 24 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.8k | $814 | 29% | — | $1.4k – $4.4k |
| 25 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.8k | $814 | 29% | — | $1.4k – $4.4k |
Last updated: Mar 26, 2026
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