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
GADOLIN MR CONTR 1ML
Longview, TX
See all hospitals reporting RC 255 →Price type
Longview Medical Center LP’s median price of $14 is 74% below the median hospital's median price ($54), higher than 29% 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: 9 payers, 35 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $2.07 | $7.86 | $0.21 – $28.11 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $2.07 | $7.86 | $0.21 – $28.11 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $2.07 | $7.86 | $0.21 – $28.11 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $2.18 | $8.26 | $0.22 – $29.52 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $2.18 | $8.26 | $0.22 – $29.52 |
| 6 | Humana node humana mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 7 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 9 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 10 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 11 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 12 | Aetna node aetna mcr adv facility · other · outpatient | $3.90 | $14.89 | $0.51 – $68.71 |
| 13 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $4.35 | $16.51 | $0.44 – $59.03 |
| 14 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $4.57 | $17.34 | $0.46 – $61.99 |
| 15 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $4.83 | $18.32 | $0.49 – $65.50 |
| 16 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $7.66 | $29.06 | $0.77 – $103.91 |
| 17 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $10.80 | $44.01 | $1.42 – $190.13 |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $10.80 | $44.01 | $1.42 – $190.13 |
| 19 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $12.42 | $50.61 | $1.64 – $218.64 |
| 20 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $14.20 | $57.84 | $1.87 – $249.87 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $14.20 | $57.84 | $1.87 – $249.87 |
| 22 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $16.82 | $68.51 | $2.22 – $295.94 |
| 23 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $17.66 | $71.94 | $2.33 – $310.77 |
| 24 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $17.66 | $71.94 | $2.33 – $310.77 |
| 25 | Blue Cross Blue Shield bcbs tx blue adv facility · percent of total billed charges · outpatientfrom % of charges | $17.75 | $72.31 | $2.34 – $312.34 |
Last updated: Apr 1, 2026
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