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.
Original text from hospital filings
RL-A-SE S 25023
Redding, CA
See all hospitals reporting CPT 84255 →Price type
Dignity Health’s median price of $18 is 52% below the median hospital's median price ($37), higher than 2% of the 2,434 hospitals reporting CPT 84255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 2 | Anthem medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 3 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 4 | Humana medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 5 | Kaiser medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 6 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $19 | $19 | $6 | 33% | — | $13 – $26 |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $21 | $21 | $16 | 75% | — | $5 – $37 |
| 8 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $22 | $22 | $9 | 40% | — | $13 – $31 |
| 9 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $22 | $22 | $9 | 40% | — | $13 – $31 |
| 10 | UnitedHealthcare commercial|options fee schedule · outpatient | $22 | $22 | $9 | 40% | — | $13 – $31 |
| 11 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $28 | $28 | $21 | 75% | — | $7 – $48 |
| 12 | Anthem medicaid|all plans fee schedule · outpatient | $34 | $34 | $21 | 62% | — | $13 – $55 |
| 13 | Anthem commercial|exchange fee schedule · outpatient | $40 | $40 | $30 | 75% | — | $10 – $71 |
| 14 | Cigna commercial|all other plans fee schedule · outpatient | $42 | $42 | $32 | 75% | — | $10 – $74 |
| 15 | Cigna commercial|ppo fee schedule · outpatient | $42 | $42 | $32 | 75% | — | $10 – $74 |
| 16 | Anthem commercial|all other plans fee schedule · outpatient | $49 | $49 | $37 | 75% | 2–20 | $12 – $86 |
| 17 | MultiPlan commercial|all plans fee schedule · inpatient | $52 | $52 | $39 | 75% | — | $13 – $91 |
| 18 | MultiPlan commercial|all plans fee schedule · outpatient | $52 | $52 | $39 | 75% | — | $13 – $91 |
| 19 | Aetna commercial|all other plans fee schedule · outpatient | $53 | $53 | $40 | 75% | — | $13 – $93 |
| 20 | Aetna commercial|hmo fee schedule · outpatient | $53 | $53 | $40 | 75% | — | $13 – $93 |
| 21 | Aetna commercial|ppo fee schedule · outpatient | $53 | $53 | $40 | 75% | — | $13 – $93 |
Last updated: Feb 28, 2026
See Selenium blood test pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.