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
$1
Average
$288
Median
$153
High
$1.6k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 253.6× 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.
Filter by billing methodology
Filter by billing class
16 hospital rates
iThe hospitals that file a Ambetter 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 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | $153 | 100% | 1–10 | $1 – $306 |
| 2 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | 1–10 | $2 – $2 |
| 3 | USA Health University Hospital Mobile, AL facility · other · outpatient | 1 | $27 | $27 | — | — | 1–10 | $27 – $27 |
| 4 | Ascension Seton Smithville, TX other · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 5 | Ascension Seton Smithville, TX percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | Ascension Seton Bastrop, TX percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 9 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 10 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $39 | $160 | 406% | — | $0 – $949 |
| 11 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Vanderbilt Bedford Hospital Shelbyville, TN percent of total billed charges · bothfrom % of charges | 1 | $418 | $418 | $95 | 23% | — | $323 – $514 |
| 14 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN percent of total billed charges · bothfrom % of charges | 1 | $418 | $418 | $95 | 23% | — | $323 – $514 |
| 15 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 1 | $418 | $418 | $95 | 23% | — | $323 – $514 |
| 16 | Vanderbilt Wilson County Hospital Lebanon, TN percent of total billed charges · bothfrom % of charges | 1 | $418 | $418 | $95 | 23% | — | $323 – $514 |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7