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 L SPINE WO CONTRAST
Windom, MN
See all hospitals reporting RC 612 →Price type
Windom Area Hospital’s median price of $1.4k is 26% above the median hospital's median price ($1.1k), higher than 59% 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, 25 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 | Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges | $737 | $760 | $682 | 90% | — | $59 – $1.8k |
| 2 | Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges | $737 | $760 | $682 | 90% | — | $59 – $1.8k |
| 3 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $737 | $760 | $682 | 90% | 6–60 | $59 – $1.8k |
| 4 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $737 | $760 | $682 | 90% | 6–60 | $59 – $1.8k |
| 5 | Aetna medicare replacement facility · other · inpatient | $815 | $815 | — | — | 6–60 | $815 – $815 |
| 6 | Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | 6–60 | $68 – $2.1k |
| 7 | Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | 4–40 | $68 – $2.1k |
| 8 | Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | 6–60 | $68 – $2.1k |
| 9 | Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | — | $68 – $2.1k |
| 10 | Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | 2–20 | $68 – $2.1k |
| 11 | UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $853 | $880 | $790 | 90% | 4–40 | $68 – $2.1k |
| 12 | Medica pmap facility · percent of total billed charges · inpatientfrom % of charges | $964 | $994 | $893 | 90% | — | $77 – $2.4k |
| 13 | Medica pmap facility · percent of total billed charges · outpatientfrom % of charges | $964 | $994 | $893 | 90% | — | $77 – $2.4k |
| 14 | Blue Cross Blue Shield medicare replacement facility · other · inpatient | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 15 | Ucare medicare replacement facility · other · inpatient | $1.5k | $1.5k | — | — | 2–20 | $1.5k – $1.5k |
| 16 | Humana medicare replacement facility · other · inpatient | $1.7k | $1.6k | $127 | 8% | 6–60 | $1.4k – $1.7k |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | $1.5k | 90% | 2–20 | $126 – $3.9k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | $1.5k | 90% | 2–20 | $126 – $3.9k |
| 19 | Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.7k | $1.5k | 90% | — | $130 – $4.0k |
| 20 | Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.7k | $1.5k | 90% | — | $130 – $4.0k |
| 21 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.7k | $1.5k | 90% | — | $130 – $4.0k |
| 22 | Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.7k | $1.5k | 90% | — | $130 – $4.0k |
| 23 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.9k | $1.7k | 90% | — | $145 – $4.5k |
| 24 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.9k | $1.7k | 90% | — | $145 – $4.5k |
| 25 | UnitedHealthcare medicare replacement facility · other · inpatient | $3.1k | $3.1k | $154 | 5% | 4–40 | $3.0k – $3.3k |
Last updated: Feb 3, 2026
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