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
$3.7k
Median
$111
High
$40.5k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
120 hospitals; the 90th percentile is 432.4× 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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162 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 10 | $383 | $338 | $112 | 33% | 2,080–2,098 | $89 – $416 |
| 2 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $14 | $14 | — | — | 1,050 | $14 – $14 |
| 3 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $13 | — | — | 825 | $13 – $13 |
| 4 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $75 | $70 | 94% | 336–408 | $32 – $243 |
| 5 | Methodist Hospital St. Louis Park, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $1 | $1 | — | — | 123 | $1 – $1 |
| 6 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 6 | $383 | $388 | $17 | 4% | 50 | $365 – $416 |
| 7 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $206 | $209 | 102% | 20–200 | $2 – $628 |
| 8 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $79 | $111 | 141% | 15 | $0 – $236 |
| 9 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $202 | $284 | $255 | 90% | 14–140 | $26 – $799 |
| 10 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $55 | $74 | $28 | 38% | 7–70 | $55 – $122 |
| 11 | ROBERT PACKER HOSPITAL Sayre, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $42 | $88 | $186 | 212% | 7–70 | $0 – $799 |
| 12 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $206 | $209 | 102% | 5–50 | $2 – $628 |
| 13 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 6 | $37 | $241 | $271 | 112% | 4–40 | $0 – $561 |
| 14 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $134 | $206 | $209 | 102% | 2–20 | $2 – $628 |
| 15 | USC Arcadia Hospital Arcadia, CA facility · other · outpatient | 2 | $2 | $17 | $34 | 196% | 2–20 | $1 – $117 |
| 16 | CORNING HOSPITAL Corning, NY facility · fee schedule · both | 1 | $33 | $33 | — | — | 1–10 | $33 – $33 |
| 17 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 6 | $195 | $276 | $270 | 98% | 1–10 | $0 – $579 |
| 18 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · fee schedule · outpatient | 1 | $37 | $37 | $10 | 28% | 1–10 | $26 – $47 |
| 19 | ROBERT PACKER HOSPITAL Sayre, PA facility · fee schedule · both | 1 | $551 | $551 | — | — | 1–10 | $551 – $551 |
| 20 | ROBERT PACKER HOSPITAL Sayre, PA facility · fee schedule · outpatient | 1 | $153 | $248 | $275 | 111% | 1–10 | $0 – $799 |
| 21 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 22 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $15 | $16 | $2 | 14% | — | $15 – $20 |
| 23 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $15 | $16 | $2 | 14% | — | $15 – $20 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $54 | $54 | — | — | — | $54 – $54 |
| 25 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 2 | $41 | $41 | $6 | 14% | — | $35 – $47 |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7