RC 621
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
Tray/mylogram
Springfield, VT
See all hospitals reporting RC 621 →Price type
Springfield Hospital’s median price of $86 is 55% below the median hospital's median price ($190), higher than 34% of the 197 hospitals reporting RC 621. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | Anthem anthem exchange fee schedule · outpatient | $63 | $63 | $38 | 60% | — | $25 – $101 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $63 | $63 | $38 | 60% | — | $25 – $101 |
| 3 | UnitedHealthcare medicare advantage fee schedule · outpatient | $63 | $63 | $38 | 60% | — | $25 – $101 |
| 4 | WellCare medicare advantage fee schedule · outpatient | $66 | $66 | $40 | 60% | — | $26 – $105 |
| 5 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $112 | $112 | $67 | 60% | — | $45 – $179 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $117 | $117 | $70 | 60% | — | $47 – $187 |
| 7 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $139 | $139 | $83 | 60% | — | $56 – $222 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $90 | 60% | — | $60 – $240 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $159 | $159 | $95 | 60% | — | $64 – $254 |
| 10 | Blue Cross Blue Shield medicare advantage percent of total billed charges · outpatientfrom % of charges | $167 | $167 | $100 | 60% | — | $67 – $267 |
| 11 | Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $104 | 60% | — | $70 – $278 |
Last updated: Aug 27, 2026
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