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
IOHEXOL 7,500 MG IODINE/275 ML NACL 0.9 % INTRAVENOUS SOLUTION (DILUTION)
Osseo, WI
See all hospitals reporting RC 255 →Price type
Mayo Clinic Health System’s median price of $44 is 20% below the median hospital's median price ($54), higher than 45% 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: 14 payers, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $9.53 | $38.73 | $1.27 – $657.28 |
| 2 | Anthem anthem ppo [80] facility · fee schedule · both | $75.53 | $75.53 | $13.40 – $137.66 |
| 3 | Blue Cross Blue Shield anthem ppo [80] facility · fee schedule · both | $75.53 | $75.53 | $13.40 – $137.66 |
| 4 | Medica deanhp by medica west mc hmo 72 pct [1264] facility · percent of total billed charges · bothfrom % of charges | $32.98 | $134.08 | $4.39 – $2,275 |
| 5 | Medica nwwi medica non mayo employees group [760] facility · percent of total billed charges · bothfrom % of charges | $37.49 | $153.37 | $5.19 – $2,686 |
| 6 | Medica medica complete health full [97] facility · percent of total billed charges · bothfrom % of charges | $38.93 | $158.29 | $5.19 – $2,686 |
| 7 | Medica nwwi medica engage ifb [1297] facility · percent of total billed charges · bothfrom % of charges | $38.93 | $158.29 | $5.19 – $2,686 |
| 8 | Blue Cross Blue Shield multi anthem hmo [60] facility · percent of total billed charges · bothfrom % of charges | $37.49 | $158.44 | $5.19 – $2,686 |
| 9 | Medica medica completehealth self [96] facility · percent of total billed charges · bothfrom % of charges | $41.22 | $167.60 | $5.49 – $2,844 |
| 10 | UnitedHealthcare multi uhc [269] facility · percent of total billed charges · bothfrom % of charges | $42.14 | $171.33 | $5.61 – $2,907 |
| 11 | Medica united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $42.59 | $173.19 | $5.67 – $2,939 |
| 12 | Optum united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $42.59 | $173.19 | $5.67 – $2,939 |
| 13 | Medica nwwi medica choice [85] facility · percent of total billed charges · bothfrom % of charges | $43.26 | $175.89 | $5.76 – $2,985 |
| 14 | Anthem anthem ppo [80] facility · percent of total billed charges · bothfrom % of charges | $41.90 | $177.08 | $5.80 – $3,002 |
| 15 | Blue Cross Blue Shield anthem ppo [80] facility · percent of total billed charges · bothfrom % of charges | $41.90 | $177.08 | $5.80 – $3,002 |
| 16 | Aetna multi rcmc aetna [215] facility · percent of total billed charges · bothfrom % of charges | $43.74 | $177.84 | $5.83 – $3,018 |
| 17 | First Health multi rcmc aetna [215] facility · percent of total billed charges · bothfrom % of charges | $43.74 | $177.84 | $5.83 – $3,018 |
| 18 | Medical Mutual multi rcmc aetna [215] facility · percent of total billed charges · bothfrom % of charges | $43.74 | $177.84 | $5.83 – $3,018 |
| 19 | Cigna nwwi cigna [492] facility · percent of total billed charges · bothfrom % of charges | $43.97 | $178.78 | $5.86 – $3,034 |
| 20 | Humana nwwi cigna [492] facility · percent of total billed charges · bothfrom % of charges | $43.97 | $178.78 | $5.86 – $3,034 |
| 21 | Medcost nwwi cigna [492] facility · percent of total billed charges · bothfrom % of charges | $43.97 | $178.78 | $5.86 – $3,034 |
| 22 | Medical Mutual nwwi cigna [492] facility · percent of total billed charges · bothfrom % of charges | $43.97 | $178.78 | $5.86 – $3,034 |
| 23 | Oscar nwwi cigna [492] facility · percent of total billed charges · bothfrom % of charges | $43.97 | $178.78 | $5.86 – $3,034 |
| 24 | Healthpartners healthpartners [296] facility · percent of total billed charges · bothfrom % of charges | $44.43 | $180.64 | $5.92 – $3,065 |
| 25 | Healthpartners noncontracted [927] facility · percent of total billed charges · bothfrom % of charges | $44.43 | $180.64 | $5.92 – $3,065 |
Last updated: Aug 14, 2026
See Pharmacy pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.