RC 616
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
MRA Lower Extremity w/o Contrast Bilat
Suffern, NY
See all hospitals reporting RC 616 →Price type
Good Samaritan Hospital’s median price of $3.4k is 170% above the median hospital's median price ($1.3k), higher than 93% of the 1,151 hospitals reporting RC 616. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 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 | Tricare tricare facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 2 | Cigna cigna ppo facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Aetna aetna hp network facility · fee schedule · outpatient | $3.3k | $3.1k | $703 | 23% | — | $853 – $3.3k |
| 4 | Aetna aetna employee facility · fee schedule · outpatient | $3.3k | $3.1k | $697 | 23% | — | $872 – $3.3k |
| 5 | Aetna aetna facility · fee schedule · outpatient | $3.3k | $3.1k | $675 | 22% | — | $949 – $3.3k |
| 6 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 8 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 9 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 10 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 11 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 12 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 13 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 14 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 15 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $19.9k | $19.9k | — | — | — | $19.9k – $19.9k |
Last updated: Jun 29, 2026
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