RC 254

Pharmacy

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

Phcs pricing summary

Low

Average

$247

Median

$223

High

$702

Phcs rate distribution

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40 hospital rates

#		Plans
1	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
2	ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
3	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
4	ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
5	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
6	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
7	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
8	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
9	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
10	ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
11	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient	1	$225	$225	—	—	—	$225 – $225
12	ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient	1	$238	$238	—	—	—	$238 – $238
13	Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges	1	$214	$214	—	—	—	$214 – $214
14	Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges	4	$121	$126	$9	7%	—	$121 – $141
15	Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges	3	$121	$128	$9	7%	—	$121 – $141
16	BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
17	BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
18	Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · inpatientfrom % of charges	1	$71	$71	—	—	—	$71 – $71
19	Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges	1	$67	$67	—	—	—	$67 – $67
20	DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
21	FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
22	HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
23	Hill Regional Hospital Hillsboro, TX percent of total billed charges · bothfrom % of charges	1	$154	$154	—	—	—	$154 – $154
24	MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges	1	$126	$126	—	—	—	$126 – $126
25	MedStar Georgetown Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges	1	$348	$348	—	—	—	$348 – $348