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
HC RX 255 OP 636
Princeton, MN
See all hospitals reporting RC 255 →Price type
Fairview Health Services’s median price of $3 is 95% below the median hospital's median price ($54), higher than 14% 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, 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 | Bcbs Mn pmap fee schedule · outpatient | $0.19 | $4.91 | $0.05 – $29.63 |
| 2 | Medica managed medicaid/accessability fee schedule · outpatient | $0.42 | $10.42 | $0.10 – $51.86 |
| 3 | Ucare individual and family with m health fairview other · inpatient | $7.63 | $10.78 | $7.63 – $33.84 |
| 4 | Medica msho/medicare advantage snp fee schedule · outpatient | $0.45 | $11.26 | $0.11 – $56.07 |
| 5 | Bcbs Mn aware federal fee schedule · outpatient | $0.46 | $11.60 | $0.12 – $70.07 |
| 6 | Bcbs Mn aware/blue plus fee schedule · outpatient | $0.47 | $11.81 | $0.12 – $71.33 |
| 7 | UnitedHealthcare commercial other · inpatient | $7.20 | $11.87 | $7.20 – $29.56 |
| 8 | Bcbs Mn pmap other · inpatient | $15.41 | $15.41 | $15.41 – $15.41 |
| 9 | Medica bold fee schedule · outpatient | $0.71 | $17.60 | $0.17 – $87.61 |
| 10 | Medica vantage self insured fee schedule · outpatient | $0.77 | $19.06 | $0.18 – $94.90 |
| 11 | Medica individual and family (except aco) and elect fee schedule · outpatient | $0.79 | $19.55 | $0.18 – $97.35 |
| 12 | Medica choice fee schedule · outpatient | $0.81 | $20.24 | $0.19 – $100.76 |
| 13 | Medica city of st. paul/essential fee schedule · outpatient | $0.81 | $20.24 | $0.19 – $100.76 |
| 14 | Ucare individual and family percent of total billed charges · outpatientfrom % of charges | $1.51 | $20.78 | $0.09 – $136.75 |
| 15 | Ucare individual and family with m health fairview percent of total billed charges · outpatientfrom % of charges | $1.51 | $20.78 | $0.09 – $136.75 |
| 16 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1.64 | $22.71 | $0.10 – $149.44 |
| 17 | Sanford Health Plan commercial percent of total billed charges · inpatientfrom % of charges | $2.06 | $24.80 | $0.11 – $161.09 |
| 18 | Sanford Health Plan commercial percent of total billed charges · outpatientfrom % of charges | $2.06 | $24.80 | $0.11 – $161.09 |
| 19 | Bcbs Mn medicare advantage other · inpatient | $13.28 | $29.07 | $0.94 – $81.85 |
| 20 | Bcbs Mn medicare advantage other · outpatient | $13.28 | $29.07 | $0.94 – $81.85 |
| 21 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $2.47 | $34.08 | $0.15 – $224.27 |
| 22 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $2.47 | $34.08 | $0.15 – $224.27 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2.56 | $35.33 | $0.15 – $232.48 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2.56 | $35.33 | $0.15 – $232.48 |
| 25 | Bcbs Mn aware/blue plus other · inpatient | $11.77 | $37.00 | $11.77 – $95.12 |
Last updated: Jan 29, 2026
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