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 W/O Contrast
Hanover, PA
See all hospitals reporting RC 612 →Price type
UPMC Hanover’s median price of $1.1k is about the same as the median hospital's median price ($1.1k), higher than 51% of the 1,750 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: 9 payers, 20 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 | Highmark medicare facility · fee schedule · outpatient | $338 | $301 | $51 | 17% | — | $229 – $338 |
| 2 | Humana medicare facility · fee schedule · outpatient | $341 | $304 | $52 | 17% | — | $231 – $341 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $356 | $318 | $54 | 17% | — | $241 – $356 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $358 | $320 | $55 | 17% | — | $242 – $358 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $365 | $326 | $56 | 17% | — | $247 – $365 |
| 6 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $352 | $329 | $45 | 14% | — | $245 – $352 |
| 7 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $431 | $408 | $42 | 10% | — | $325 – $431 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $598 | $709 | $326 | 46% | — | $325 – $1.1k |
| 9 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $859 | $761 | $162 | 21% | — | $524 – $904 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $1.2k | $1.1k | $185 | 17% | — | $821 – $1.2k |
| 11 | Cigna commercial facility · fee schedule · outpatient | $2.0k | $1.7k | $369 | 21% | — | $1.2k – $2.0k |
| 12 | Aetna aco facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $2.7k | $579 | 21% | — | $1.9k – $3.2k |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $2.7k | $579 | 21% | — | $1.9k – $3.2k |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $2.9k | $627 | 21% | — | $2.0k – $3.5k |
| 16 | Aetna commercial facility · fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.4k | $724 | 21% | — | $2.3k – $4.0k |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.4k | $724 | 21% | — | $2.3k – $4.0k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.4k | $724 | 21% | — | $2.3k – $4.0k |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.4k | $724 | 21% | — | $2.3k – $4.0k |
Last updated: Mar 6, 2026
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