RC 616
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 MRA LT LOW EXT W/CONTRAST - LT
York, PA
See all hospitals reporting RC 616 →Price type
UPMC Memorial’s median price of $2.0k is 60% above the median hospital's median price ($1.3k), higher than 73% of the 1,140 hospitals reporting RC 616. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 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 | $219 | $218 | $33 | 15% | — | $177 – $259 |
| 2 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $294 | $258 | $51 | 20% | — | $187 – $294 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $319 | $319 | — | — | — | $319 – $319 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $905 | $787 | $166 | 21% | — | $552 – $905 |
| 5 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.6k | $343 | 21% | — | $1.1k – $1.9k |
| 6 | Cigna commercial facility · fee schedule · outpatient | $2.0k | $1.7k | $369 | 21% | — | $1.2k – $2.0k |
| 7 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $1.9k | $399 | 21% | — | $1.3k – $2.2k |
| 8 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $1.9k | $406 | 21% | — | $1.3k – $2.2k |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.2k | $472 | 21% | — | $1.6k – $2.6k |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.4k | $503 | 21% | — | $1.7k – $2.7k |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.4k | $503 | 21% | — | $1.7k – $2.7k |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $2.9k | $612 | 21% | — | $2.0k – $3.3k |
| 13 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.3k | $706 | 21% | — | $2.3k – $3.8k |
| 14 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.3k | $706 | 21% | — | $2.3k – $3.8k |
Last updated: Mar 6, 2026
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