RC 254
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.
Generation details were not recorded for this description.
Original text from hospital filings
Isovue-370
Low
$10
Average
$1.6k
Median
$213
High
$33.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
46 payers; the 90th percentile is 89.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Al facility · other · outpatient | 1 | $20 | $20 | $13 | 65% | 27–36 | $7 – $33 |
| 2 | Tricare facility · other · outpatient · +6 other terms | 4 | $287 | $368 | $621 | 169% | 8–80 | $0 – $2.4k |
| 3 | First Health facility · percent of total billed charges · outpatientfrom % of charges · +5 other terms | 35 | $58 | $147 | $817 | 557% | — | $0 – $12.0k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 20 | $44 | $39.7k | $364.9k | 919% | — | $0 – $5100k |
| 5 | Cigna facility · fee schedule · outpatient · +8 other terms | 18 | $7 | $10 | $26 | 256% | — | $0 – $132 |
| 6 | UnitedHealthcare other · outpatient · +18 other terms | 15 | $10 | $35 | $63 | 181% | — | $10 – $194 |
| 7 | Anthem facility · fee schedule · outpatient · +8 other terms | 14 | $1 | $1 | $1 | 102% | — | $0 – $3 |
| 8 | Aetna facility · fee schedule · outpatient · +13 other terms | 13 | $1.2k | $953 | $391 | 41% | — | $125 – $1.2k |
| 9 | Medcost facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms | 11 | $93 | $92 | $111 | 121% | — | $4 – $691 |
| 10 | Medica facility · fee schedule · outpatient · +9 other terms | 10 | $1.3k | $896 | $577 | 64% | — | $0 – $1.3k |
| 11 | Sanford Health Plan facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms | 10 | $5 | $6 | $30 | 473% | — | $1 – $445 |
| 12 | Medicare facility · fee schedule · outpatient · +5 other terms | 9 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Ucare facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms | 9 | $470 | $470 | — | — | — | $470 – $470 |
| 14 | Highmark facility · per diem · inpatient · +6 other terms | 7 | $2.7k | $2.6k | $533 | 21% | — | $750 – $3.2k |
| 15 | Optum facility · per diem · inpatient · +4 other terms | 7 | $1.5k | $1.6k | $603 | 37% | — | $1.5k – $4.5k |
| 16 | Humana fee schedule · both · +12 other terms | 6 | $0 | $4 | $11 | 263% | — | $0 – $42 |
| 17 | MultiPlan fee schedule · inpatient · +8 other terms | 6 | $269 | $269 | — | — | — | $269 – $269 |
| 18 | Phcs fee schedule · inpatient · +5 other terms | 6 | $225 | $225 | — | — | — | $225 – $225 |
| 19 | Bcbs Wy facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms | 5 | $26 | $24 | $17 | 71% | — | $3 – $45 |
| 20 | Kaiser other · both · +5 other terms | 5 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 21 | WellCare fee schedule · both · +4 other terms | 5 | $0 | $5 | $13 | 269% | — | $0 – $48 |
| 22 | Aetna Better Health facility · per diem · inpatient · +5 other terms | 4 | $2.6k | $2.7k | $365 | 14% | — | $2.2k – $3.0k |
| 23 | Healthpartners facility · other · outpatient · +2 other terms | 4 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Molina facility · fee schedule · outpatient · +10 other terms | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Superior Healthplan percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $61 | $54 | $14 | 26% | — | $26 – $61 |
← Hospitals reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7