RC 255

Pharmacy at Chilton 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

Pompton Plains, NJ

See all hospitals reporting RC 255 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Chilton Medical Center’s median price of $130 is 139% above the median hospital's median price ($54), higher than 72% 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 Chilton Medical Center

Negotiated rates from the hospital’s own file: 13 payers, 24 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.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare united non-tertiary percent of total billed charges · bothfrom % of charges	$21.88	$21.88	$13.08 – $30.68
2	Aetna cmc aetna whole health per diem · both	$20.39	$23.66	$4.74 – $45.51
3	Cigna cmc cigna local plus percent of total billed charges · bothfrom % of charges	$27.77	$27.77	$16.60 – $38.93
4	Aetna cmc aetna percent of total billed charges · bothfrom % of charges	$29.43	$29.43	$17.59 – $41.27
5	Aetna cmc aetna whole health percent of total billed charges · bothfrom % of charges	$29.43	$29.43	$17.59 – $41.27
6	Cigna cmc cigna oap percent of total billed charges · bothfrom % of charges	$32.67	$32.67	$19.53 – $45.81
7	Cigna cmc cigna ppo percent of total billed charges · bothfrom % of charges	$35.94	$35.94	$21.48 – $50.39
8	Aetna cmc aetna per diem · both	$31.55	$39.87	$6.08 – $132.32
9	Anthem cmc medicaid percent of total billed charges · bothfrom % of charges	$28.65	$40.00	$3.36 – $106.63
10	Medicaid cmc medicaid percent of total billed charges · bothfrom % of charges	$28.65	$40.00	$3.36 – $106.63
11	Aetna Better Health cmc aetna better health percent of total billed charges · bothfrom % of charges	$34.37	$47.99	$4.03 – $127.92
12	Cigna cmc cigna oap per diem · both	$105.80	$130.27	$13.65 – $411.35
13	UnitedHealthcare united non-tertiary per diem · both	$63.10	$149.84	$22.45 – $518.63
14	UnitedHealthcare oxford non-tertiary percent of total billed charges · bothfrom % of charges	$111.40	$155.54	$13.08 – $414.61
15	Humana cmc qualcare percent of total billed charges · bothfrom % of charges	$137.38	$191.81	$16.13 – $511.29
16	Kaiser phcs primary network percent of total billed charges · bothfrom % of charges	$137.38	$191.81	$16.13 – $511.29
17	Oscar cmc qualcare percent of total billed charges · bothfrom % of charges	$137.38	$191.81	$16.13 – $511.29
18	Phcs phcs primary network percent of total billed charges · bothfrom % of charges	$137.38	$191.81	$16.13 – $511.29
19	First Health first health percent of total billed charges · bothfrom % of charges	$162.36	$226.68	$19.06 – $604.25
20	Blue Cross Blue Shield cmc horizon omnia percent of total billed charges · bothfrom % of charges	$224.25	$230.87	$18.49 – $456.48
21	MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges	$174.85	$244.12	$20.52 – $650.73
22	Anthem cmc horizon commercial percent of total billed charges · bothfrom % of charges	$243.74	$250.93	$20.09 – $496.16
23	Blue Cross Blue Shield cmc horizon commercial percent of total billed charges · bothfrom % of charges	$243.74	$250.93	$20.09 – $496.16
24	Anthem cmc horizon commercial per diem · both	$651.60	$651.60	$434.40 – $868.80

Last updated: Apr 1, 2026

Compare to other hospitals

See Pharmacy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.