RC 612
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
HC MRI Lumbar Spine W/Contrast
Troy, NY
See all hospitals reporting RC 612 →Price type
Samaritan Hospital’s median price of $889 is 18% below the median hospital's median price ($1.1k), higher than 43% of the 1,772 hospitals reporting RC 612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 37 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem empire bcbs medicare advantage facility · other · both | $427 | $375 | $66 | 18% | 3–30 | $292 – $427 |
| 2 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $444 | $401 | $65 | 16% | 34–97 | $304 – $444 |
| 3 | Aetna aetna medicare advantage facility · other · both | $461 | $412 | $69 | 17% | 2–20 | $315 – $461 |
| 4 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $415 | $415 | — | — | — | $415 – $415 |
| 5 | Excellus blue shield of ne new york medicare adv facility · other · both | $479 | $416 | $75 | 18% | — | $328 – $479 |
| 6 | Highmark blue shield of ne new york medicare adv facility · other · both | $479 | $416 | $75 | 18% | 1–10 | $328 – $479 |
| 7 | WellCare wellcare medicare advantage facility · other · both | $476 | $426 | $71 | 17% | 1–10 | $326 – $476 |
| 8 | Anthem empire medicaid facility · fee schedule · both | $535 | $535 | — | — | — | $535 – $535 |
| 9 | Excellus empire medicaid facility · fee schedule · both | $535 | $535 | — | — | — | $535 – $535 |
| 10 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $605 | $557 | $126 | 23% | — | $385 – $684 |
| 11 | WellCare wellcare ep 1&2 medicaid facility · other · both | $697 | $623 | $104 | 17% | — | $477 – $697 |
| 12 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $711 | $655 | $146 | 22% | — | $454 – $803 |
| 13 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $711 | $655 | $146 | 22% | — | $454 – $803 |
| 14 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $711 | $655 | $146 | 22% | — | $454 – $803 |
| 15 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $711 | $655 | $146 | 22% | — | $454 – $803 |
| 16 | Anthem empire bcbs blue access facility · other · both | $901 | $806 | $134 | 17% | — | $616 – $901 |
| 17 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 18 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 19 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 20 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 21 | Premera blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 22 | Regence blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 23 | Wellmark blue shield of ne new york ppo facility · fee schedule · both | $889 | $819 | $183 | 22% | — | $568 – $1.0k |
| 24 | Anthem empire bcbs hmo epo ppo indemnity facility · other · both | $1.0k | $896 | $149 | 17% | — | $685 – $1.0k |
| 25 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both | $1.0k | $896 | $149 | 17% | — | $685 – $1.0k |
Last updated: Mar 31, 2026
See MRI of the spine pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.