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
IOHEXOL 180MG/1ML 3.6GM/20ML SNIJ
Mesa, AZ
See all hospitals reporting RC 255 →Price type
Banner Desert Medical Center’s median price of $1 is 98% below the median hospital's median price ($54), higher than 7% 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: 5 payers, 17 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $0.45 | $0.45 | $0.45 – $0.45 |
| 2 | Aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $0.57 | $0.57 | $0.57 – $0.57 |
| 3 | UnitedHealthcare uhc doctor's plan facility · percent of total billed charges · outpatientfrom % of charges | $1.09 | $1.09 | $1.09 – $1.09 |
| 4 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.12 | $1.12 | $1.12 – $1.12 |
| 5 | UnitedHealthcare uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1.14 | $1.14 | $1.14 – $1.14 |
| 6 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1.18 | $1.18 | $1.18 – $1.18 |
| 7 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1.18 | $1.18 | $1.18 – $1.18 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 9 | Cigna localflex facility · fee schedule · outpatient | $2.67 | $2.67 | $2.67 – $2.67 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $2.97 | $2.97 | $2.97 – $2.97 |
| 11 | Bcbs Az bcbsaz maricopafocus facility · fee schedule · outpatient | $6.95 | $6.95 | $6.95 – $6.95 |
| 12 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $6.95 | $6.95 | $6.95 – $6.95 |
| 13 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $7.42 | $7.42 | $7.42 – $7.42 |
| 14 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $7.79 | $7.79 | $7.79 – $7.79 |
| 15 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 16 | Bcbs Az commercial facility · fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
| 17 | Bcbs Az medicare supplemental senior preferred facility · fee schedule · outpatient | $9.27 | $9.27 | $9.27 – $9.27 |
Last updated: Mar 2, 2026
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