RC 255

Pharmacy at Coffee Regional Medical Center, Inc

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

ZZ OMNIPAQUE 350 (100 ML)

Douglas, GA

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How this price compares nationally

Coffee Regional Medical Center, Inc’s median price of $1 is 98% below the median hospital's median price ($54), higher than 9% 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 Coffee Regional Medical Center, Inc

Negotiated rates from the hospital’s own file: 12 payers, 31 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	Caresource caresource ga-mcd professional · fee schedule · outpatient	$0.14	$0.28	$0.08 – $1.02
2	Aetna aetna-mcr adv professional · fee schedule · outpatient	$0.15	$2.21	$0.08 – $39.32
3	Blue Cross Blue Shield bcbs-mcr adv professional · fee schedule · outpatient	$0.15	$2.21	$0.08 – $39.32
4	Cigna cigna professional · fee schedule · outpatient	$0.15	$2.21	$0.08 – $39.32
5	UnitedHealthcare uhc-mcr adv professional · fee schedule · outpatient	$0.15	$2.21	$0.08 – $39.32
6	Aetna aetna-cm professional · fee schedule · outpatient	$0.15	$2.25	$0.08 – $39.96
7	Humana humana military professional · fee schedule · outpatient	$0.15	$2.25	$0.08 – $39.96
8	Humana humana-mcr adv professional · fee schedule · outpatient	$0.15	$2.25	$0.08 – $39.96
9	Oscar oscar aca professional · fee schedule · outpatient	$0.15	$2.25	$0.08 – $39.96
10	UnitedHealthcare uhc-cm professional · fee schedule · outpatient	$0.15	$2.25	$0.08 – $39.96
11	WellCare wellcare-mcr adv professional · fee schedule · outpatient	$0.15	$2.32	$0.08 – $41.29
12	Devoted mcr adv-devoted health inc professional · fee schedule · outpatient	$0.16	$2.36	$0.08 – $41.96
13	Ambetter ambetter professional · fee schedule · outpatient	$0.20	$2.93	$0.10 – $51.95
14	Aetna aetna-aca professional · fee schedule · outpatient	$0.22	$3.32	$0.12 – $58.98
15	Humana humana-cm professional · fee schedule · outpatient	$0.21	$3.33	$0.07 – $59.64
16	Caresource caresource ga-mcd facility · percent of total billed charges · outpatientfrom % of charges	$1.39	$3.75	$0.40 – $46.09
17	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$5.46	$6.52	$1.56 – $17.94
18	UnitedHealthcare uhc-cm facility · percent of total billed charges · inpatientfrom % of charges	$3.09	$8.35	$0.88 – $102.54
19	UnitedHealthcare uhc-cm facility · percent of total billed charges · outpatientfrom % of charges	$3.29	$8.88	$0.94 – $109.04
20	Blue Cross Blue Shield bcbs-cm facility · percent of total billed charges · inpatientfrom % of charges	$4.53	$12.23	$1.29 – $150.13
21	Aetna aetna-cm facility · percent of total billed charges · inpatientfrom % of charges	$4.90	$13.23	$1.40 – $162.40
22	Aetna aetna-cm facility · percent of total billed charges · outpatientfrom % of charges	$4.90	$13.23	$1.40 – $162.40
23	Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges	$5.46	$14.74	$1.56 – $180.96
24	Humana humana-cm facility · percent of total billed charges · inpatientfrom % of charges	$5.81	$15.69	$1.66 – $192.56
25	Humana humana-cm facility · percent of total billed charges · outpatientfrom % of charges	$5.81	$15.69	$1.66 – $192.56

Page 1 of 2 · 31 rates

Last updated: Jun 5, 2026

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