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
$3
Average
$624
Median
$35
High
$6.1k
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 90.6× 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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18 hospital rates
iThe hospitals that file a Kaiser 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 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $9 | 76% | — | $3 – $20 |
| 2 | Childrens Hospital of Los Angeles Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 3 | Childrens Hospital of Orange County - Profit Orange, CA facility · other · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Hayward Sisters Hospital Hayward, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 6 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 7 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 8 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 9 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 10 | Inova Mount Vernon Hospital Alexandria, VA other · both | 2 | $35 | $35 | $1 | 2% | — | $35 – $36 |
| 11 | KAISER PERMANENTE CENTRAL HOSPITAL Seattle, WA fee schedule · both | 2 | $1.9k | $1.9k | $484 | 25% | — | $1.4k – $2.4k |
| 12 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 13 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $146 | $146 | $29 | 20% | — | $116 – $175 |
| 14 | National Rehabilitation Hospital Washington, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $246 | $246 | $14 | 6% | — | $233 – $260 |
| 15 | Page Hospital Page, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | $11 | 76% | — | $4 – $26 |
| 16 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 17 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 1 | $767 | $767 | — | — | — | $767 – $767 |
| 18 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.1k | $6.1k | $3.0k | 49% | — | $3.1k – $9.1k |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7