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
CNT VISIPAQUE 320 MG/ML PER ML
Bloomington, IN
See all hospitals reporting RC 255 →Price type
Indiana University Health Bloomington Inc.’s median price of $89 is 63% above the median hospital's median price ($54), higher than 62% 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: 8 payers, 36 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 hmo - coventry plans fee schedule · outpatient | $0.34 | $184.30 | $0.02 – $6,858 |
| 2 | Aetna pos - cox medical plans fee schedule · outpatient | $0.34 | $184.30 | $0.02 – $6,858 |
| 3 | Aetna ppo - in preferred fee schedule · outpatient | $0.34 | $184.30 | $0.02 – $6,858 |
| 4 | Aetna ppo/pos fee schedule · outpatient | $0.34 | $184.30 | $0.02 – $6,858 |
| 5 | Cigna hmo fee schedule · outpatient | $0.39 | $221.00 | $0.19 – $8,015 |
| 6 | Cigna hmo - open access fee schedule · outpatient | $0.39 | $221.00 | $0.19 – $8,015 |
| 7 | Cigna hmo/pos - arnett hospital plans fee schedule · outpatient | $0.39 | $221.00 | $0.19 – $8,015 |
| 8 | Cigna ppo fee schedule · outpatient | $0.39 | $221.00 | $0.19 – $8,015 |
| 9 | Cigna ppo - new business fee schedule · outpatient | $0.39 | $221.00 | $0.19 – $8,015 |
| 10 | Cigna ppo - new business percent of total billed charges · outpatientfrom % of charges | $96.15 | $226.09 | $0.86 – $3,158 |
| 11 | Aetna pos - cox medical plans percent of total billed charges · outpatientfrom % of charges | $98.73 | $229.66 | $0.86 – $3,153 |
| 12 | Aetna ppo - in preferred percent of total billed charges · outpatientfrom % of charges | $98.73 | $229.66 | $0.86 – $3,153 |
| 13 | UnitedHealthcare all managed care percent of total billed charges · outpatientfrom % of charges | $77.69 | $262.63 | $0.89 – $8,762 |
| 14 | Aetna hmo - coventry plans percent of total billed charges · outpatientfrom % of charges | $113.09 | $263.08 | $0.99 – $3,612 |
| 15 | Aetna ppo/pos percent of total billed charges · outpatientfrom % of charges | $113.09 | $263.08 | $0.99 – $3,612 |
| 16 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $141.21 | $332.07 | $1.27 – $4,638 |
| 17 | Cigna hmo - open access percent of total billed charges · outpatientfrom % of charges | $141.21 | $332.07 | $1.27 – $4,638 |
| 18 | Cigna hmo/pos - arnett hospital plans percent of total billed charges · outpatientfrom % of charges | $141.21 | $332.07 | $1.27 – $4,638 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $141.21 | $332.07 | $1.27 – $4,638 |
| 20 | MultiPlan ppo - phcs private healthcare plans percent of total billed charges · outpatientfrom % of charges | $100.09 | $338.34 | $1.15 – $11,288 |
| 21 | MultiPlan ppo - multiplan plans percent of total billed charges · outpatientfrom % of charges | $105.98 | $358.25 | $1.22 – $11,952 |
| 22 | Aetna ppo - first health percent of total billed charges · outpatientfrom % of charges | $106.21 | $359.04 | $1.22 – $11,978 |
| 23 | Aetna ppo - nap percent of total billed charges · outpatientfrom % of charges | $106.21 | $359.04 | $1.22 – $11,978 |
| 24 | Cigna ppo - drg plans percent of total billed charges · outpatientfrom % of charges | $110.69 | $374.16 | $1.27 – $12,483 |
| 25 | Cigna ppo - non-drg percent of total billed charges · outpatientfrom % of charges | $110.69 | $374.16 | $1.27 – $12,483 |
Last updated: Mar 25, 2026
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