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
Lititz, PA
See all hospitals reporting RC 641 →Price type
UPMC Lititz’s median price of $183 is 265% above the median hospital's median price ($50), higher than 71% 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: 7 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $113 | $113 | — | — | — | $113 – $113 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 6 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 7 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 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 | $512 | $512 | — | — | — | $512 – $512 |
| 13 | Aetna medicare facility · fee schedule · outpatient | $539 | $539 | — | — | — | $539 – $539 |
| 14 | Cigna medicare facility · fee schedule · outpatient | $543 | $543 | — | — | — | $543 – $543 |
| 15 | Highmark medicaid facility · fee schedule · outpatient | $947 | $947 | $644 | 68% | — | $303 – $1.6k |
| 16 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Highmark commercial facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Cigna commercial facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 6, 2026
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