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
MRI CHEST SPINE W/O & W/DYE
Valhalla, NY
See all hospitals reporting RC 612 →Price type
Westchester Medical Center’s median price of $1.6k is 46% above the median hospital's median price ($1.1k), higher than 64% of the 1,772 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: 11 payers, 24 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 blue cross medicare facility · fee schedule · outpatient | $433 | $392 | $63 | 16% | — | $296 – $433 |
| 2 | Medicare medicare facility · fee schedule · outpatient | $433 | $392 | $63 | 16% | — | $296 – $433 |
| 3 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $433 | $392 | $63 | 16% | — | $296 – $433 |
| 4 | Oscar oscar medicare facility · fee schedule · outpatient | $446 | $404 | $65 | 16% | — | $305 – $446 |
| 5 | Molina affinity by molina mcr facility · fee schedule · outpatient | $455 | $412 | $66 | 16% | — | $311 – $455 |
| 6 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $556 | $524 | $95 | 18% | — | $373 – $611 |
| 7 | UnitedHealthcare uhc compass facility · fee schedule · outpatient | $556 | $524 | $95 | 18% | — | $373 – $611 |
| 8 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $556 | $524 | $95 | 18% | — | $373 – $611 |
| 9 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $556 | $524 | $95 | 18% | — | $373 – $611 |
| 10 | Aetna aetna facility · fee schedule · outpatient | $688 | $677 | $162 | 24% | — | $414 – $877 |
| 11 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $802 | $726 | $116 | 16% | — | $548 – $802 |
| 12 | Aetna aetna hp network facility · fee schedule · outpatient | $775 | $761 | $181 | 24% | — | $466 – $999 |
| 13 | Cigna cigna ppo facility · fee schedule · outpatient | $821 | $808 | $194 | 24% | — | $494 – $1.1k |
| 14 | Aetna aetna employee facility · fee schedule · outpatient | $860 | $845 | $201 | 24% | — | $517 – $1.1k |
| 15 | Tricare tricare facility · fee schedule · outpatient | $435 | $1.1k | $2.5k | 235% | — | $298 – $10.1k |
| 16 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $1.8k | $2.0k | $884 | 44% | — | $247 – $3.5k |
| 17 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $2.2k | $2.4k | $1.1k | 44% | — | $247 – $4.2k |
| 18 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · fee schedule · outpatient | $2.4k | $2.7k | $1.2k | 44% | — | $247 – $4.7k |
| 19 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 20 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $6.3k | $6.2k | $1.2k | 19% | — | $4.5k – $7.3k |
| 21 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.6k | $1.3k | 19% | — | $4.8k – $7.9k |
| 22 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $5.8k | $6.7k | $2.4k | 35% | — | $4.9k – $10.9k |
| 23 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.5k | $1.4k | 19% | — | $5.4k – $8.9k |
| 24 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.5k | $1.4k | 19% | — | $5.4k – $8.9k |
Last updated: Jul 28, 2026
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