RC 614

MRI scan, other type at Samaritan 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC MRI Lower Extremity Other Than Joint W/O Contrast Rt

Troy, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Samaritan Hospital’s median price of $1.0k is 18% above the median hospital's median price ($849), higher than 57% of the 1,251 hospitals reporting RC 614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 614 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 16 payers, 47 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 aetna facility · other · both	$72	$72	$31	43%	—	$41 – $104
2	Medical Mutual aetna facility · other · both	$72	$72	$31	43%	—	$41 – $104
3	WellCare wellcare medicare advantage facility · fee schedule · both	$245	$245	—	—	—	$245 – $245
4	WellCare wellcare ep 1&2 medicaid facility · fee schedule · both	$360	$358	$2	1%	—	$355 – $360
5	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$415	$402	$65	16%	—	$83 – $415
6	Anthem empire bcbs medicare advantage facility · other · both	$427	$420	$183	44%	4–40	$292 – $959
7	UnitedHealthcare united healthcare medicare advantage facility · other · both	$444	$445	$197	44%	79–250	$304 – $997
8	Aetna aetna medicare advantage facility · other · both	$461	$453	$201	44%	1–10	$315 – $1.0k
9	Excellus blue shield of ne new york medicare adv facility · other · both	$479	$465	$203	44%	—	$328 – $1.1k
10	Highmark blue shield of ne new york medicare adv facility · other · both	$479	$465	$203	44%	4–40	$328 – $1.1k
11	WellCare wellcare medicare advantage facility · other · both	$476	$478	$211	44%	2–20	$326 – $1.1k
12	Anthem empire medicaid facility · fee schedule · both	$535	$518	$84	16%	—	$107 – $535
13	Excellus empire medicaid facility · fee schedule · both	$535	$518	$84	16%	—	$107 – $535
14	Highmark blue shield of ne new york ascend facility · fee schedule · both	$759	$674	$216	32%	—	$35 – $1.0k
15	WellCare wellcare ep 1&2 medicaid facility · other · both	$697	$725	$345	48%	—	$477 – $1.6k
16	Anthem empire bcbs blue access facility · fee schedule · both	$790	$786	$5	1%	—	$779 – $790
17	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$886	$840	$299	36%	—	$52 – $1.6k
18	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$886	$840	$299	36%	—	$52 – $1.6k
19	Highmark blue shield of ne new york hmo facility · fee schedule · both	$886	$840	$299	36%	—	$52 – $1.6k
20	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$886	$840	$299	36%	—	$52 – $1.6k
21	Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$878	$874	$6	1%	—	$865 – $878
22	Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$878	$874	$6	1%	—	$865 – $878
23	UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$878	$874	$6	1%	—	$865 – $878
24	Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both	$878	$874	$6	1%	—	$865 – $878
25	Anthem empire bcbs blue access facility · other · both	$901	$937	$446	48%	—	$616 – $2.0k

Page 1 of 2 · 47 rates

Last updated: Mar 31, 2026

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