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
$14
Average
$873
Median
$1.5k
High
$1.5k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 54.6× 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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15 hospital rates
iThe hospitals that file a Optum 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 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $33 | $43 | 132% | 27–81 | $0 – $158 |
| 2 | Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $45 | $74 | $90 | 122% | — | $4 – $302 |
| 4 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $34 | $24 | 71% | — | $3 – $61 |
| 5 | Childrens Hospital of Los Angeles Angeles, CA facility · per diem · outpatient | 1 | $26 | $26 | — | — | — | $26 – $26 |
| 6 | City Hospital, Inc. Martinsburg, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $395 | $395 | $4 | 1% | — | $390 – $399 |
| 9 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 1 | $399 | $399 | — | — | — | $399 – $399 |
| 10 | Princeton Community Hospital Assn Inc. Princeton, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $10 | $10 | $7 | 70% | — | $2 – $23 |
| 14 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · per diem · inpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
← Payers reporting RC 254 · Snapshot 20261111T120946Z-9134e7f7