RC 612

MRI of the spine at Proctor Community Hospital

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

MRI T Spine W/O Contrast

Peoria, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Proctor Community Hospital’s median price of $767 is 29% below the median hospital's median price ($1.1k), higher than 36% of the 1,772 hospitals reporting RC 612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 612 at Proctor Community Hospital

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	Blue Cross Blue Shield managed medicaid other · outpatient	$209	$209	—	—	1–10	$209 – $209
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$242	$242	—	—	—	$242 – $242
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$242	$242	—	—	—	$242 – $242
4	Aetna medicare advantage case rate · outpatient	$256	$256	—	—	—	$256 – $256
5	Blue Cross Blue Shield medicare advantage case rate · outpatient	$256	$256	—	—	—	$256 – $256
6	Humana medicare advantage case rate · outpatient	$256	$256	—	—	—	$256 – $256
7	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
8	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$256	$256	—	—	—	$256 – $256
9	UnitedHealthcare medicare advantage case rate · outpatient	$256	$256	—	—	—	$256 – $256
10	UnitedHealthcare va ccn case rate · outpatient	$256	$256	—	—	—	$256 – $256
11	WellCare medicare advantage hmo case rate · outpatient	$256	$256	—	—	—	$256 – $256
12	Aetna commercial ppo fee schedule · outpatient	$575	$575	—	—	—	$575 – $575
13	UnitedHealthcare ppo case rate · outpatient	$767	$767	—	—	—	$767 – $767
14	Cigna ppo case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
15	Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges	$1.8k	$1.8k	$3	0%	—	$1.8k – $1.8k
16	Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	$3	0%	2–20	$1.8k – $1.8k
17	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$2.1k	$2.1k	$3	0%	—	$2.1k – $2.2k
18	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	$3	0%	2–20	$2.1k – $2.2k
19	Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges	$2.1k	$2.1k	$3	0%	—	$2.1k – $2.2k
20	Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$4	0%	2–20	$2.8k – $2.8k
21	Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$4	0%	—	$2.8k – $2.8k
22	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.8k	$4	0%	20–29	$2.8k – $2.8k
23	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$3.5k	$3.5k	$5	0%	—	$3.4k – $3.5k
24	MultiPlan ppo percent of total billed charges · inpatientfrom % of charges	$3.6k	$3.6k	$5	0%	—	$3.6k – $3.6k
25	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$3.6k	$3.6k	$5	0%	—	$3.6k – $3.6k

Last updated: Apr 15, 2026

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