RC 616
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 Mra Lower Extremity W/O & W/Contrast Bl
Troy, NY
See all hospitals reporting RC 616 →Price type
Samaritan Hospital’s median price of $1.2k is 8% below the median hospital's median price ($1.3k), higher than 48% of the 1,151 hospitals reporting RC 616. 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, 34 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 | WellCare wellcare ep 1&2 medicaid facility · fee schedule · both | $386 | $386 | — | — | — | $386 – $386 |
| 2 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $415 | $415 | — | — | — | $415 – $415 |
| 3 | Anthem empire bcbs medicare advantage facility · other · both | $427 | $427 | — | — | — | $427 – $427 |
| 4 | WellCare wellcare medicare advantage facility · other · both | $476 | $476 | — | — | — | $476 – $476 |
| 5 | Excellus blue shield of ne new york medicare adv facility · other · both | $479 | $479 | — | — | — | $479 – $479 |
| 6 | Highmark blue shield of ne new york medicare adv facility · other · both | $479 | $479 | — | — | — | $479 – $479 |
| 7 | Anthem empire medicaid facility · fee schedule · both | $535 | $535 | — | — | — | $535 – $535 |
| 8 | Excellus empire medicaid facility · fee schedule · both | $535 | $535 | — | — | — | $535 – $535 |
| 9 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $800 | $800 | — | — | — | $800 – $800 |
| 10 | Anthem empire bcbs blue access facility · fee schedule · both | $846 | $846 | — | — | — | $846 – $846 |
| 11 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 12 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 13 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 14 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 15 | Anthem empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 16 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 17 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 18 | Wellmark empire bcbs hmo epo ppo indemnity facility · fee schedule · both | $940 | $940 | — | — | — | $940 – $940 |
| 19 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 20 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 21 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $977 | $1.1k | $230 | 20% | — | $977 – $1.5k |
| 22 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Mar 31, 2026
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