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
DEFINITY
Pennington, NJ
See all hospitals reporting RC 255 →Price type
Capital Health System Inc’s median price of $103 is 90% 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: 6 payers, 14 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 | Blue Cross Blue Shield indemnity fee schedule · outpatient | $41.60 | $41.60 | $41.60 – $41.60 |
| 2 | Blue Cross Blue Shield managed care fee schedule · outpatient | $41.60 | $41.60 | $41.60 – $41.60 |
| 3 | Blue Cross Blue Shield omnia fee schedule · outpatient | $41.60 | $41.60 | $41.60 – $41.60 |
| 4 | Blue Cross Blue Shield ppo fee schedule · outpatient | $41.60 | $41.60 | $41.60 – $41.60 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $95.72 | $95.72 | $95.72 – $95.72 |
| 6 | UnitedHealthcare commercial other · outpatient | $101.58 | $101.58 | $101.58 – $101.58 |
| 7 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $129.22 | $129.22 | $129.22 – $129.22 |
| 8 | Cigna local plus percent of total billed charges · outpatientfrom % of charges | $206.76 | $206.76 | $206.76 – $206.76 |
| 9 | Cigna managed care/ppo percent of total billed charges · outpatientfrom % of charges | $614.76 | $614.76 | $614.76 – $614.76 |
| 10 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $849.52 | $849.52 | $849.52 – $849.52 |
| 11 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $1,795 | $1,795 | $1,795 – $1,795 |
| 12 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $1,795 | $1,795 | $1,795 – $1,795 |
| 13 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,034 | $2,034 | $2,034 – $2,034 |
| 14 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,034 | $2,034 | $2,034 – $2,034 |
Last updated: Jun 24, 2026
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