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
$13
Average
$98
Median
$69
High
$238
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 18.7× 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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9 hospital rates
iThe hospitals that file a Devoted 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 | Ascension Seton Smithville, TX percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 3 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 4 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $10 | 76% | — | $3 – $22 |
| 5 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $10 | 75% | — | $3 – $22 |
| 6 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $64 | $64 | $36 | 57% | — | $28 – $100 |
| 7 | Page Hospital Page, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | $12 | 76% | — | $4 – $29 |
| 8 | USA Health Children's & Women's Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | $107 | 45% | — | $130 – $345 |
| 9 | USA Health University Hospital Mobile, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $238 | $238 | $107 | 45% | — | $130 – $345 |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7