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
HB Ref Selenium, RBC (Arup)
Low
$0
Average
$73
Median
$48
High
$4.7k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1355 hospitals; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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1,971 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 10 | $27 | $65 | $87 | 134% | 504 | $3 – $493 |
| 2 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $28 | 36% | 46–55 | $50 – $107 |
| 3 | North Adams Regional Hospital North Adams, MA facility · other · outpatient | 3 | $122 | $121 | $4 | 3% | 40 | $116 – $125 |
| 4 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 2 | $85 | $85 | $16 | 19% | 32 | $69 – $102 |
| 5 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 4 | $109 | $139 | $125 | 90% | 24–240 | $22 – $621 |
| 6 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $65 | $25 | 38% | 24–33 | $47 – $100 |
| 7 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $26 | $26 | — | — | 23 | $26 – $26 |
| 8 | St Louis Childrens Hospital Saint Louis, MO percent of total billed charges · bothfrom % of charges | 6 | $180 | $198 | $31 | 16% | 19–55 | $151 – $234 |
| 9 | LUCILE SALTER PACKARD CHILDREN'S HOSPITAL AT STANFORD PALO ALTO, CA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $32 | $14 | 43% | 13–22 | $13 – $42 |
| 10 | Duke University Hospital Durham, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 12 | $75 – $75 |
| 11 | Duke University Hospital Raleigh, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 12 | $75 – $75 |
| 12 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | — | — | 12 | $8 – $8 |
| 13 | Northwestern Medicine Central DuPage Hospital Winfield, IL other · outpatient | 1 | $26 | $26 | — | — | 9–90 | $26 – $26 |
| 14 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $94 | $18 | 19% | 8–80 | $62 – $114 |
| 15 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 5 | $26 | $47 | $42 | 91% | 8–80 | $26 – $139 |
| 16 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 1 | $9 | $9 | — | — | 7–70 | $9 – $9 |
| 17 | ADVENTIST HEALTH DELANO Delano, CA percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $27 | $20 | 72% | 6–60 | $5 – $60 |
| 18 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $80 | $80 | $0 | 0% | 5–50 | $80 – $80 |
| 19 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $26 | $26 | — | — | 4–40 | $26 – $26 |
| 20 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $9 | 52% | 4–40 | $9 – $27 |
| 21 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 2 | $61 | $61 | $0 | 0% | 3–30 | $60 – $61 |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $182 | $154 | $55 | 36% | 3–30 | $42 – $196 |
| 23 | Memorial Hospital Shiloh, IL fee schedule · both | 3 | $60 | $47 | $16 | 35% | 3–30 | $27 – $61 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $39 | $32 | $11 | 34% | 3–30 | $17 – $41 |
| 25 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 3 | $60 | $47 | $16 | 35% | 3–30 | $27 – $61 |
← Payers reporting CPT 84255 · Snapshot 20261111T120946Z-9134e7f7