RC 255

Pharmacy at CentraState Medical Center

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 350 MG IODINE/ML INTRAVENOUS SOLUTION

Freehold Township, NJ

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Pricing by billing methodology

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How this price compares nationally

CentraState Medical Center’s median price of $27 is 50% below the median hospital's median price ($54), higher than 37% of the 1,205 hospitals reporting RC 255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 255 at CentraState Medical Center

Negotiated rates from the hospital’s own file: 12 payers, 21 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 csmc cigna oap per diem · both	$5.35	$5.35	$5.35 – $5.35
2	Anthem csmc medicaid percent of total billed charges · bothfrom % of charges	$11.78	$19.10	$0.26 – $80.84
3	Medicaid csmc medicaid percent of total billed charges · bothfrom % of charges	$11.78	$19.10	$0.26 – $80.84
4	Aetna Better Health csmc aetna better health percent of total billed charges · bothfrom % of charges	$14.14	$22.93	$0.31 – $97.02
5	Cigna csmc cigna ppo fee schedule · both	$25.00	$24.12	$3.75 – $42.00
6	Cigna csmc cigna local plus percent of total billed charges · bothfrom % of charges	$12.90	$52.01	$0.72 – $228.99
7	Humana csmc qualcare percent of total billed charges · bothfrom % of charges	$32.43	$52.59	$0.70 – $222.52
8	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$32.43	$52.59	$0.70 – $222.52
9	Oscar csmc qualcare percent of total billed charges · bothfrom % of charges	$32.43	$52.59	$0.70 – $222.52
10	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$32.43	$52.59	$0.70 – $222.52
11	Aetna csmc aetna percent of total billed charges · bothfrom % of charges	$13.68	$55.14	$0.77 – $242.75
12	Aetna csmc aetna whole health percent of total billed charges · bothfrom % of charges	$13.68	$55.14	$0.77 – $242.75
13	Cigna csmc cigna oap percent of total billed charges · bothfrom % of charges	$15.18	$61.20	$0.85 – $269.45
14	First Health first health percent of total billed charges · bothfrom % of charges	$38.33	$62.15	$0.83 – $262.98
15	Anthem csmc horizon commercial percent of total billed charges · bothfrom % of charges	$15.62	$62.98	$0.88 – $277.26
16	Blue Cross Blue Shield csmc horizon commercial percent of total billed charges · bothfrom % of charges	$15.62	$62.98	$0.88 – $277.26
17	MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges	$41.27	$66.93	$0.90 – $283.21
18	Cigna csmc cigna ppo percent of total billed charges · bothfrom % of charges	$16.70	$67.33	$0.94 – $296.40
19	Aetna csmc aetna per diem · both	$86.38	$81.74	$15.81 – $172.77
20	Anthem csmc horizon commercial per diem · both	$89.97	$97.65	$66.69 – $143.95
21	Aetna csmc aetna whole health per diem · both	$831.00	$831.01	$0.02 – $1,662

Last updated: Apr 1, 2026

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