RC 641
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 KIDNEY IMAG W/ PHARM MULTI MD
Hanover, PA
See all hospitals reporting RC 641 →Price type
UPMC Hanover’s median price of $243 is 386% above the median hospital's median price ($50), higher than 82% of the 51 hospitals reporting RC 641. 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, 18 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 3 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 4 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $172 | $172 | — | — | — | $172 – $172 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | — | $184 – $184 |
| 6 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 7 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 8 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 9 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $215 | $215 | — | — | — | $215 – $215 |
| 10 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 11 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $303 | $303 | — | — | — | $303 – $303 |
| 12 | Highmark medicare facility · fee schedule · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 13 | Humana medicare facility · fee schedule · outpatient | $514 | $514 | — | — | — | $514 – $514 |
| 14 | Aetna medicare facility · fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 15 | Cigna medicare facility · fee schedule · outpatient | $540 | $540 | — | — | — | $540 – $540 |
| 16 | Highmark medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | $701 | 70% | — | $303 – $1.7k |
| 17 | Highmark commercial facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Cigna commercial facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 6, 2026
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