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
LOCM 300-399MG/ML 1M
Tucson, AZ
See all hospitals reporting RC 255 →Price type
Oro Valley Hospital LLC’s median price of $1 is 97% below the median hospital's median price ($54), higher than 10% 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, 29 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 asbait facility · percent of total billed charges · inpatientfrom % of charges | $0.78 | $4.05 | $0.03 – $35.67 |
| 2 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $0.78 | $4.05 | $0.03 – $35.67 |
| 3 | Medicaid az medicaid facility · other · outpatient | $0.24 | $4.55 | $0.08 – $40.24 |
| 4 | Magellan magellan medicaid az facility · other · outpatient | $0.25 | $4.78 | $0.08 – $42.25 |
| 5 | UnitedHealthcare uhc hix facility · percent of total billed charges · outpatientfrom % of charges | $0.98 | $5.09 | $0.04 – $44.87 |
| 6 | Cigna cigna localplus facility · other · outpatient | $1.18 | $6.14 | $0.05 – $54.07 |
| 7 | UnitedHealthcare uhc navigate facility · percent of total billed charges · outpatientfrom % of charges | $1.18 | $6.14 | $0.05 – $54.07 |
| 8 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $1.22 | $6.35 | $0.05 – $55.95 |
| 9 | Cigna cigna hmo facility · other · outpatient | $1.22 | $6.39 | $0.05 – $56.33 |
| 10 | Cigna cigna localflex facility · other · outpatient | $1.22 | $6.39 | $0.05 – $56.33 |
| 11 | Devoted node devoted health mcr adv facility · other · outpatient | $1.34 | $6.47 | $0.05 – $56.32 |
| 12 | Aetna aetna qhp facility · percent of total billed charges · outpatientfrom % of charges | $1.89 | $9.01 | $1.05 – $20.53 |
| 13 | Ambetter node az complete health ambetter exchange facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 14 | Blue Cross Blue Shield node bcbs az mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 15 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 16 | Humana node humana mcr adv facility · fee schedule · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 17 | UnitedHealthcare node apipa uhc community plan mcr adv facility · per diem · outpatient | $9.81 | $9.81 | $9.81 – $9.81 |
| 18 | Clover node clover health mcr adv facility · fee schedule · outpatient | $9.91 | $9.91 | $9.91 – $9.91 |
| 19 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 20 | Aetna aetna performance facility · percent of total billed charges · outpatientfrom % of charges | $2.11 | $10.06 | $1.17 – $22.93 |
| 21 | Magellan node magellan mcr adv facility · fee schedule · outpatient | $10.30 | $10.30 | $10.30 – $10.30 |
| 22 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $10.30 | $10.30 | $10.30 – $10.30 |
| 23 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $2.22 | $10.59 | $1.23 – $24.14 |
| 24 | First Health first health coventry facility · percent of total billed charges · inpatientfrom % of charges | $2.14 | $11.19 | $0.09 – $98.57 |
| 25 | First Health first health coventry facility · percent of total billed charges · outpatientfrom % of charges | $2.14 | $11.19 | $0.09 – $98.57 |
Last updated: Apr 1, 2026
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