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
GASTROGRAFIN 66-10 SOLN 120ML
Middlesboro, KY
See all hospitals reporting RC 255 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $213 is 291% above the median hospital's median price ($54), higher than 86% 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: 8 payers, 11 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 | Anthem commercial fee schedule · outpatient | $0.18 | $3.44 | $0.18 – $48.59 |
| 2 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $97.31 | $105.23 | $24.60 – $212.98 |
| 3 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $97.31 | $105.23 | $24.60 – $212.98 |
| 4 | Humana choice care percent of total billed charges · outpatientfrom % of charges | $97.31 | $105.23 | $24.60 – $212.98 |
| 5 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $97.31 | $105.23 | $24.60 – $212.98 |
| 6 | Humana medicare other · outpatient | $137.50 | $137.50 | $137.50 – $137.50 |
| 7 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $132.50 | $143.28 | $33.50 – $290.00 |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $394.85 | $426.99 | $99.83 – $864.20 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $477.00 | $515.82 | $120.60 – $1,044 |
| 10 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $492.90 | $533.01 | $124.62 – $1,079 |
| 11 | Optum veterans affairs plan other · outpatient | $671.00 | $671.00 | $671.00 – $671.00 |
Last updated: Jan 1, 2026
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