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 BREAST W/WO CON UNILATER
Teaneck, NJ
See all hospitals reporting RC 614 →Price type
Holy Name’s median price of $719 is 15% below the median hospital's median price ($846), higher than 41% of the 1,235 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: 9 payers, 25 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 medicare prime facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | $56 | 25% | — | $167 – $280 |
| 2 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $147 | $254 | $169 | 67% | — | $147 – $583 |
| 3 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $154 | $267 | $177 | 67% | — | $154 – $612 |
| 4 | Aetna golden medicare facility · percent of total billed charges · outpatientfrom % of charges | $272 | $272 | $68 | 25% | — | $204 – $340 |
| 5 | Aetna medicare prime facility · fee schedule · outpatient | $256 | $297 | $58 | 19% | — | $256 – $379 |
| 6 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $177 | $305 | $203 | 67% | — | $177 – $701 |
| 7 | Aetna golden medicare facility · fee schedule · outpatient | $285 | $330 | $64 | 19% | — | $285 – $421 |
| 8 | Clover clover facility · fee schedule · outpatient | $285 | $330 | $64 | 19% | — | $285 – $421 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $285 | $330 | $64 | 19% | — | $285 – $421 |
| 10 | WellCare medicare facility · fee schedule · outpatient | $288 | $333 | $65 | 19% | — | $288 – $425 |
| 11 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $230 | $398 | $265 | 66% | — | $230 – $913 |
| 12 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $310 | $536 | $357 | 66% | — | $310 – $1.2k |
| 13 | Cigna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $615 | $615 | $155 | 25% | — | $461 – $770 |
| 14 | Aetna whole health facility · fee schedule · outpatient | $626 | $625 | $141 | 23% | — | $478 – $771 |
| 15 | UnitedHealthcare uhc facility · other · outpatient | $810 | $810 | — | — | — | $810 – $810 |
| 16 | Cigna hmo/pos facility · fee schedule · outpatient | $812 | $966 | $218 | 23% | — | $812 – $1.3k |
| 17 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $599 | $1.0k | $688 | 67% | — | $599 – $2.4k |
| 18 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $440 | $1.1k | $1.1k | 103% | — | $440 – $3.2k |
| 19 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $562 | $1.2k | $1.1k | 92% | — | $562 – $3.4k |
| 21 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $783 | $1.4k | $899 | 67% | — | $783 – $3.1k |
| 22 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $829 | $1.4k | $952 | 67% | — | $829 – $3.3k |
| 23 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $854 | $1.5k | $981 | 67% | — | $854 – $3.4k |
| 24 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $854 | $1.5k | $981 | 67% | — | $854 – $3.4k |
| 25 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $854 | $1.5k | $981 | 67% | — | $854 – $3.4k |
Last updated: Nov 10, 2025
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