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
ioversol 68% (320 mg/mL) INJ Soln 50 mL
Washington, DC
See all hospitals reporting RC 255 →Price type
Children's National Hospital’s median price of $2 is 96% below the median hospital's median price ($54), higher than 12% 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: 7 payers, 30 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 | Carefirst hmo facility · fee schedule · inpatient | $3.45 | $5.15 | $0.19 – $24.09 |
| 2 | Carefirst rpn facility · fee schedule · inpatient | $3.45 | $5.15 | $0.19 – $24.09 |
| 3 | Cigna oap facility · fee schedule · outpatient | $0.41 | $5.15 | $0.30 – $66.90 |
| 4 | Cigna ppo facility · fee schedule · outpatient | $0.41 | $5.15 | $0.30 – $66.90 |
| 5 | Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.72 | $7.37 | $0.26 – $61.39 |
| 6 | Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.72 | $7.37 | $0.26 – $61.39 |
| 7 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.77 | $7.57 | $0.27 – $63.09 |
| 8 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.79 | $7.92 | $0.26 – $61.39 |
| 9 | Carefirst hmo facility · fee schedule · outpatient | $5.42 | $8.10 | $0.30 – $37.85 |
| 10 | Carefirst rpn facility · fee schedule · outpatient | $5.42 | $8.10 | $0.30 – $37.85 |
| 11 | Carefirst rpn facility · percent of total billed charges · outpatientfrom % of charges | $2.96 | $8.24 | $0.49 – $115.95 |
| 12 | Cigna epo facility · percent of total billed charges · inpatientfrom % of charges | $2.00 | $8.60 | $0.30 – $71.62 |
| 13 | Cigna epo facility · percent of total billed charges · outpatientfrom % of charges | $2.00 | $8.60 | $0.30 – $71.62 |
| 14 | Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $2.05 | $8.80 | $0.31 – $73.32 |
| 15 | Carefirst managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $2.05 | $8.80 | $0.31 – $73.32 |
| 16 | Kaiser managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $2.05 | $8.80 | $0.31 – $73.32 |
| 17 | UnitedHealthcare managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $2.14 | $9.46 | $0.31 – $73.32 |
| 18 | Anthem hmo facility · percent of total billed charges · inpatientfrom % of charges | $2.47 | $10.58 | $0.37 – $88.16 |
| 19 | Anthem hmx facility · percent of total billed charges · inpatientfrom % of charges | $2.47 | $10.58 | $0.37 – $88.16 |
| 20 | UnitedHealthcare all payer facility · percent of total billed charges · outpatientfrom % of charges | $2.53 | $10.84 | $0.38 – $90.29 |
| 21 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.53 | $10.84 | $0.38 – $90.29 |
| 22 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.55 | $10.93 | $0.38 – $91.06 |
| 23 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.55 | $10.93 | $0.38 – $91.06 |
| 24 | Anthem hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.59 | $11.11 | $0.39 – $92.59 |
| 25 | Anthem hmx facility · percent of total billed charges · outpatientfrom % of charges | $2.59 | $11.11 | $0.39 – $92.59 |
Last updated: Apr 2, 2026
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