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
MRI PELVIS W/O & W/CONTRAST MATERIAL
Hackensack, NJ
See all hospitals reporting RC 614 →Price type
Hmh Hospitals Corporation’s median price of $1.1k is 33% above the median hospital's median price ($849), higher than 64% 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: 8 payers, 19 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 | Optum managed medicaid facility · fee schedule · outpatient | $336 | $343 | $161 | 47% | — | $100 – $744 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $418 | $418 | — | — | — | $418 – $418 |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $421 | $429 | $201 | 47% | — | $125 – $930 |
| 4 | Optum medicare advantage facility · fee schedule · outpatient | $421 | $429 | $201 | 47% | — | $125 – $930 |
| 5 | WellCare managed medicaid facility · fee schedule · outpatient | $421 | $429 | $201 | 47% | — | $125 – $930 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $421 | $429 | $201 | 47% | — | $125 – $930 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $445 | $445 | $200 | 45% | — | $127 – $926 |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $562 | $562 | — | — | — | $562 – $562 |
| 9 | Cigna hmo facility · fee schedule · outpatient | $610 | $596 | $236 | 40% | — | $111 – $944 |
| 10 | Cigna ppo facility · fee schedule · outpatient | $610 | $596 | $236 | 40% | — | $111 – $944 |
| 11 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $720 | $650 | $236 | 36% | — | $99 – $985 |
| 12 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $906 | $330 | 36% | — | $138 – $1.4k |
| 13 | Aetna asa facility · fee schedule · outpatient | $1.0k | $908 | $407 | 45% | — | $147 – $1.4k |
| 14 | Aetna hmo facility · fee schedule · outpatient | $1.0k | $908 | $407 | 45% | — | $147 – $1.4k |
| 15 | Aetna ppo facility · fee schedule · outpatient | $1.0k | $908 | $407 | 45% | — | $147 – $1.4k |
| 16 | UnitedHealthcare hmo facility · fee schedule · outpatient | $1.1k | $1.1k | $468 | 42% | — | $337 – $2.2k |
| 17 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $2.9k | $1.1k | 36% | — | $440 – $4.4k |
| 19 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.1k | $1.1k | 36% | — | $468 – $4.7k |
Last updated: Dec 31, 2025
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