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
Locm 300-399mgmL iodine
Boulder, CO
See all hospitals reporting RC 255 →Price type
Boulder Community Health’s median price of $98 is 81% above the median hospital's median price ($54), higher than 65% 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, 18 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 | Cigna commercial facility · fee schedule · outpatient | $0.21 | $1.35 | $0.10 – $21.57 |
| 2 | Aetna commercial facility · other · outpatient | $7.44 | $7.44 | $7.44 – $7.44 |
| 3 | UnitedHealthcare commercial facility · other · outpatient | $22.45 | $25.44 | $22.45 – $38.41 |
| 4 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $31.54 | $44.54 | $20.20 – $168.15 |
| 5 | Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges | $35.93 | $47.29 | $23.06 – $166.82 |
| 6 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $46.15 | $67.45 | $22.75 – $397.30 |
| 7 | Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges | $55.20 | $72.65 | $35.42 – $256.30 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $57.48 | $75.66 | $36.89 – $266.91 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $57.48 | $75.66 | $36.89 – $266.91 |
| 10 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $82.80 | $108.99 | $53.14 – $384.49 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $92.96 | $122.36 | $59.66 – $431.66 |
| 12 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $99.30 | $130.70 | $63.72 – $461.09 |
| 13 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $99.30 | $130.70 | $63.72 – $461.09 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $100.59 | $132.40 | $64.55 – $467.10 |
| 15 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $100.59 | $132.40 | $64.55 – $467.10 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $105.15 | $141.74 | $31.79 – $533.82 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $114.96 | $151.32 | $73.78 – $533.82 |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $125.15 | $164.73 | $80.31 – $581.13 |
Last updated: Sep 16, 2026
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