RC 614

MRI scan, other type at Dignity Health

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 BREAST WO AND W CON BI

Gilbert, AZ

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $824 is 3% below the median hospital's median price ($846), higher than 47% of the 1,239 hospitals reporting RC 614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 614 at Dignity Health

Negotiated rates from the hospital’s own file: 7 payers, 26 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 commercial\|maricopafocus fee schedule · outpatient	$209	$212	$61	29%	—	$139 – $288
2	Blue Cross Blue Shield commercial\|neighborhood fee schedule · outpatient	$209	$212	$61	29%	—	$139 – $288
3	Blue Cross Blue Shield commercial\|all other plans fee schedule · outpatient	$209	$259	$88	34%	12	$185 – $384
4	UnitedHealthcare medicaid\|all plans fee schedule · outpatient	$290	$299	$117	39%	—	$29 – $509
5	Blue Cross Blue Shield commercial\|workers comp fee schedule · outpatient	$275	$351	$157	45%	—	$209 – $570
6	Aetna medicare\|all plans fee schedule · outpatient	$381	$384	$177	46%	—	$258 – $842
7	Blue Cross Blue Shield medicare\|all plans fee schedule · outpatient	$381	$384	$177	46%	—	$258 – $842
8	Cigna medicare\|all plans fee schedule · outpatient	$381	$384	$177	46%	—	$258 – $842
9	First Health medicare\|all plans fee schedule · outpatient	$381	$384	$177	46%	16–43	$258 – $842
10	Humana medicare\|all plans fee schedule · outpatient	$381	$384	$177	46%	16–43	$258 – $842
11	UnitedHealthcare medicare\|all plans fee schedule · outpatient	$390	$394	$181	46%	—	$264 – $863
12	UnitedHealthcare commercial\|dignityhealthemployee fee schedule · outpatient	$570	$579	$257	44%	—	$29 – $990
13	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$824	$806	$361	45%	5–50	$525 – $1.7k
14	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$824	$806	$361	45%	1–10	$525 – $1.7k
15	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$824	$806	$361	45%	—	$525 – $1.7k
16	Cigna commercial\|exchange fee schedule · outpatient	$1.2k	$1.2k	$226	19%	—	$209 – $1.2k
17	Cigna commercial\|localplus surefit fee schedule · outpatient	$1.3k	$1.3k	$246	20%	1–10	$209 – $1.3k
18	Cigna commercial\|all other plans fee schedule · outpatient	$1.7k	$1.6k	$338	21%	6–60	$209 – $1.7k
19	Cigna commercial\|ppo fee schedule · outpatient	$1.7k	$1.6k	$338	21%	6–60	$209 – $1.7k
20	First Health commercial\|all plans fee schedule · inpatient	$2.2k	$2.2k	$993	44%	—	$113 – $3.8k
21	First Health commercial\|all plans fee schedule · outpatient	$2.2k	$2.2k	$993	44%	—	$113 – $3.8k
22	Aetna commercial\|all other plans fee schedule · outpatient	$2.9k	$2.6k	$434	16%	5–50	$1.6k – $2.9k
23	Aetna commercial\|hmo fee schedule · outpatient	$2.9k	$2.6k	$434	16%	5–50	$1.6k – $2.9k
24	Aetna commercial\|ppo fee schedule · outpatient	$2.9k	$2.6k	$434	16%	5–50	$1.6k – $2.9k
25	MultiPlan commercial\|all plans fee schedule · inpatient	$3.1k	$3.2k	$1.4k	44%	—	$161 – $5.4k

Page 1 of 2 · 26 rates

Last updated: Feb 28, 2026

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