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
$390
Median
$52
High
$2.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 235.0× 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
54 hospital rates
iThe hospitals that file a Molina 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 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $8 | $8 | — | — | 450 | $8 – $8 |
| 2 | USA Health Children's & Women's Hospital Mobile, AL facility · other · outpatient | 1 | $7 | $7 | — | — | 81 | $7 – $7 |
| 3 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $7 | $7 | — | — | 75 | $7 – $7 |
| 4 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 5 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $208 | $208 | — | — | — | $208 – $208 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 8 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | $10 | 75% | — | $3 – $23 |
| 9 | Barnesville Hospital Association, Inc. Barnesville, OH facility · per diem · inpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 10 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 11 | Community Health Association Ripley, WV facility · per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 13 | Harrison Community Hospital, Inc. Cadiz, OH facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Marshfield Medical Center - Beaver Dam Beaver Dam, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $11 | $32 | 297% | — | $2 – $181 |
| 15 | Marshfield Medical Center - Beaver Dam Beaver Dam, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $11 | $32 | 297% | — | $2 – $181 |
| 16 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 17 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 18 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 19 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 20 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $8 | $21 | 254% | — | $1 – $117 |
| 21 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $8 | $21 | 254% | — | $1 – $117 |
| 22 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 23 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 24 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
| 25 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $7 | $21 | 292% | — | $1 – $117 |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7