RC 255
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
HCHG GASTROMARK ORAL PER 100ML
Rapids, MN
See all hospitals reporting RC 255 →Price type
Allina Health Systems’s median price of $103 is 89% above the median hospital's median price ($54), higher than 66% of the 1,205 hospitals reporting RC 255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $11.87 | $11.87 | $11.87 – $11.87 |
| 3 | Bcbs Mn bc premier (m u) facility · other · outpatient | $13.40 | $13.40 | $13.40 – $13.40 |
| 4 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $15.76 | $15.76 | $15.76 – $15.76 |
| 5 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $16.09 | $16.09 | $16.09 – $16.09 |
| 6 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $16.92 | $16.92 | $16.92 – $16.92 |
| 7 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $38.25 | $38.25 | $30.94 – $45.55 |
| 8 | Bcbs Mn bc pmap (amu) facility · percent of total billed charges · outpatientfrom % of charges | $40.14 | $40.14 | $40.14 – $40.14 |
| 9 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $42.20 | $42.20 | $34.14 – $50.26 |
| 10 | Bcbs Mn bc premier (m u) facility · percent of total billed charges · outpatientfrom % of charges | $73.58 | $73.58 | $73.58 – $73.58 |
| 11 | Bcbs Mn bc state health plan (mu) facility · percent of total billed charges · outpatientfrom % of charges | $74.19 | $74.19 | $74.19 – $74.19 |
| 12 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $79.81 | $79.81 | $79.81 – $79.81 |
| 13 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $84.41 | $84.41 | $68.29 – $100.52 |
| 14 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $84.90 | $84.90 | $84.90 – $84.90 |
| 15 | Blue Cross Blue Shield bc aehp (mu) facility · percent of total billed charges · outpatientfrom % of charges | $86.55 | $86.55 | $86.55 – $86.55 |
| 16 | Bcbs Mn bc high value/performance network (mu) facility · percent of total billed charges · outpatientfrom % of charges | $92.91 | $92.91 | $92.91 – $92.91 |
| 17 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $111.59 | $111.59 | $90.28 – $132.90 |
| 18 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $123.70 | $123.70 | $123.70 – $123.70 |
| 19 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $133.07 | $133.07 | $107.66 – $158.48 |
| 20 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $136.32 | $136.32 | $110.29 – $162.35 |
| 21 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $142.33 | $142.33 | $115.15 – $169.51 |
| 22 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $142.33 | $142.33 | $115.15 – $169.51 |
| 23 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $149.80 | $149.80 | $121.19 – $178.40 |
| 24 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $152.08 | $152.08 | $123.04 – $181.12 |
| 25 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $159.69 | $159.69 | $129.19 – $190.18 |
Last updated: Jun 17, 2026
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