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
perflutren protein-a microsphr 0.22 mg/mL Susp 3 m
Houma, LA
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Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System’s median price of $59 is 9% above the median hospital's median price ($54), higher than 51% 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, 11 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 La bc hmo facility · fee schedule · outpatient | $0.24 | $7.12 | $0.09 – $46.07 |
| 2 | Bcbs La bc ppo facility · fee schedule · outpatient | $0.24 | $7.12 | $0.09 – $46.07 |
| 3 | Blue Cross Blue Shield blue cross of la blue connect facility · fee schedule · outpatient | $0.24 | $7.12 | $0.09 – $46.07 |
| 4 | UnitedHealthcare uhc select facility · percent of total billed charges · outpatientfrom % of charges | $52.10 | $122.76 | $5.15 – $858.84 |
| 5 | UnitedHealthcare united healthcare heritage facility · percent of total billed charges · outpatientfrom % of charges | $52.10 | $122.76 | $5.15 – $858.84 |
| 6 | UnitedHealthcare united healthcare navigate facility · percent of total billed charges · outpatientfrom % of charges | $52.10 | $122.76 | $5.15 – $858.84 |
| 7 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $57.96 | $136.56 | $5.73 – $955.36 |
| 8 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $97.60 | $229.95 | $9.65 – $1,609 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $97.60 | $229.95 | $9.65 – $1,609 |
| 10 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $100.75 | $237.38 | $9.96 – $1,661 |
| 11 | Tricare champus/tricare facility · fee schedule · outpatient | $150.15 | $353.78 | $14.85 – $2,475 |
Last updated: Feb 27, 2026
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