RC 610
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 73221 MRI UPP EXT,JNT W/O CONTRAST
San Antonio, TX
See all hospitals reporting RC 610 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $487 is 50% below the median hospital's median price ($973), higher than 20% of the 1,874 hospitals reporting RC 610. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 53 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 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $40.74 | $63.98 | $31.92 – $119.28 |
| 2 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $43.65 | $68.55 | $34.20 – $127.80 |
| 3 | Humana choicecare percent of total billed charges · outpatientfrom % of charges | $48.50 | $76.17 | $38.00 – $142.00 |
| 4 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $49.47 | $77.69 | $38.76 – $144.84 |
| 5 | Aetna new business percent of total billed charges · outpatientfrom % of charges | $52.38 | $82.26 | $41.04 – $153.36 |
| 6 | Aetna epo percent of total billed charges · outpatientfrom % of charges | $58.20 | $91.40 | $45.60 – $170.40 |
| 7 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $58.20 | $91.40 | $45.60 – $170.40 |
| 8 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $58.20 | $91.40 | $45.60 – $170.40 |
| 9 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $58.20 | $91.40 | $45.60 – $170.40 |
| 10 | Aetna mm fee schedule · outpatient | $335.34 | $317.10 | $0.52 – $741.85 |
| 11 | UnitedHealthcare chip km fee schedule · outpatient | $304.73 | $319.14 | $224.88 – $456.37 |
| 12 | UnitedHealthcare star km fee schedule · outpatient | $304.73 | $319.14 | $224.88 – $456.37 |
| 13 | UnitedHealthcare star plus km fee schedule · outpatient | $304.73 | $319.14 | $224.88 – $456.37 |
| 14 | Bcbs Tx mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 15 | Humana gold choice mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 16 | Humana gold plus mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 17 | Molina medicare adv mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 19 | WellCare mm fee schedule · outpatient | $335.34 | $332.91 | $82.68 – $741.85 |
| 20 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $254.32 | $334.57 | $8.36 – $774.73 |
| 21 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $254.32 | $334.57 | $8.36 – $774.73 |
| 22 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $254.32 | $334.57 | $8.36 – $774.73 |
| 23 | Devoted mm fee schedule · outpatient | $362.17 | $359.55 | $89.29 – $801.20 |
| 24 | Aetna chip km fee schedule · outpatient | $464.22 | $457.49 | $294.24 – $933.35 |
| 25 | Aetna star km fee schedule · outpatient | $464.22 | $457.49 | $294.24 – $933.35 |
Last updated: Jan 13, 2026
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