RC 255

Pharmacy at Doylestown Hospital

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.

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Original text from hospital filings

NM OCTREOSCAN UP TO 6MCI

Doylestown, PA

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Pricing by billing methodology

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How this price compares nationally

Doylestown Hospital’s median price of $29 is 47% below the median hospital's median price ($54), higher than 38% 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 Doylestown Hospital

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.

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1	Blue Cross Blue Shield other blue cross facility · percent of total billed charges · inpatientfrom % of charges	$0.32	$125.11	$0.17 – $1,877
2	Blue Cross Blue Shield other blue cross facility · percent of total billed charges · outpatientfrom % of charges	$0.32	$125.11	$0.17 – $1,877
3	UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges	$0.36	$139.01	$0.19 – $2,085
4	Blue Cross Blue Shield independence blue cross hmo tiered facility · percent of total billed charges · outpatientfrom % of charges	$138.85	$141.38	$28.32 – $270.45
5	Blue Cross Blue Shield independence blue cross hmo ppo facility · percent of total billed charges · outpatientfrom % of charges	$150.91	$153.66	$30.78 – $293.94
6	Blue Cross Blue Shield independence blue cross traditional facility · percent of total billed charges · outpatientfrom % of charges	$165.99	$169.01	$33.86 – $323.30
7	Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges	$0.57	$220.56	$0.30 – $3,308
8	Aetna aetna pebtf facility · percent of total billed charges · outpatientfrom % of charges	$255.56	$242.65	$56.33 – $537.92
9	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$273.79	$259.95	$60.35 – $576.29
10	Tricare tricare facility · fee schedule · outpatient	$1.19	$463.36	$0.63 – $6,950
11	Blue Cross Blue Shield independence blue cross hmo ppo facility · fee schedule · outpatient	$1,982	$1,982	$16.34 – $3,947
12	Blue Cross Blue Shield independence blue cross hmo tiered facility · fee schedule · outpatient	$1,982	$1,982	$16.34 – $3,947
13	Blue Cross Blue Shield independence blue cross traditional facility · fee schedule · outpatient	$1,982	$1,982	$16.34 – $3,947
14	Blue Cross Blue Shield other blue cross (100 percent pom) facility · fee schedule · outpatient	$2,001	$2,001	$2,001 – $2,001
15	Medicare medicare facility · fee schedule · outpatient	$2,001	$2,001	$2,001 – $2,001
16	Blue Cross Blue Shield other blue cross med adv facility · fee schedule · outpatient	$2,041	$2,041	$2,041 – $2,041
17	Cigna cigna medicare advantage facility · fee schedule · outpatient	$2,081	$2,081	$2,081 – $2,081
18	Ambetter ambetter facility · fee schedule · outpatient	$2,101	$2,101	$2,101 – $2,101
19	Aetna aetna medicare advantage facility · fee schedule · outpatient	$2,121	$2,121	$2,121 – $2,121
20	Highmark highmark-bc central facility · fee schedule · outpatient	$2,202	$2,202	$2,202 – $2,202
21	Highmark highmark indemnity/managed care facility · fee schedule · outpatient	$4,266	$4,266	$4,266 – $4,266

Last updated: Aug 27, 2026

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