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
GASTROGRAFIN 30ML
Hayward, CA
See all hospitals reporting RC 255 →Price type
Hayward Sisters Hospital’s median price of $0 is 99% below the median hospital's median price ($54), higher than 2% 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: 6 payers, 12 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 | Aetna aetna medicare ppo facility · other · outpatient | $0.14 | $0.21 | $0.14 – $0.35 |
| 2 | UnitedHealthcare secure horizons (pacificare)/hill facility · fee schedule · outpatient | $0.22 | $0.22 | $0.22 – $0.22 |
| 3 | UnitedHealthcare united healthcare ppo-pos-epo/pacificare of california hmo-ppo/hill facility · fee schedule · outpatient | $0.22 | $0.22 | $0.22 – $0.22 |
| 4 | Cigna cigna/hill facility · fee schedule · outpatient | $0.24 | $0.24 | $0.24 – $0.24 |
| 5 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $0.35 | $0.52 | $0.35 – $0.87 |
| 6 | Bcbs Ca blue cross hmo/ppo facility · other · outpatient | $0.36 | $0.54 | $0.36 – $0.90 |
| 7 | Bcbs Ca blue cross hmo/ppo/affinity facility · other · outpatient | $0.36 | $0.54 | $0.36 – $0.90 |
| 8 | Bcbs Ca blue cross hmo/ppo/hill facility · other · outpatient | $0.36 | $0.54 | $0.36 – $0.90 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $0.36 | $0.54 | $0.36 – $0.89 |
| 10 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $0.36 | $0.54 | $0.36 – $0.89 |
| 11 | Kaiser kaiser/kaiser sr facility · percent of total billed charges · outpatientfrom % of charges | $0.38 | $0.56 | $0.38 – $0.93 |
| 12 | UnitedHealthcare united healthcare ppo-pos-epo/pacificare of california hmo-ppo facility · other · outpatient | $0.47 | $0.70 | $0.47 – $1.16 |
Last updated: Feb 23, 2026
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