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
HB Non-Ionic Contrast 50cc
Palos Heights, IL
See all hospitals reporting RC 255 →Price type
Palos Community Hospital’s median price of $235 is 332% above the median hospital's median price ($54), higher than 87% 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, 24 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 | Blue Cross Blue Shield ph bcbs bluechoice options select percent of total billed charges · outpatientfrom % of charges | $54.84 | $54.84 | $54.84 – $54.84 |
| 2 | Blue Cross Blue Shield ph bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $55.94 | $55.94 | $55.94 – $55.94 |
| 3 | Blue Cross Blue Shield ph bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $66.37 | $66.37 | $66.37 – $66.37 |
| 4 | Cigna ph cigna alternative percent of total billed charges · outpatientfrom % of charges | $73.30 | $73.30 | $73.30 – $73.30 |
| 5 | Aetna ph aetna nm employees percent of total billed charges · outpatientfrom % of charges | $84.28 | $84.28 | $84.28 – $84.28 |
| 6 | Cigna ph cigna broad percent of total billed charges · outpatientfrom % of charges | $116.03 | $116.03 | $116.03 – $116.03 |
| 7 | Aetna ph aetna il preferred percent of total billed charges · outpatientfrom % of charges | $132.89 | $132.89 | $132.89 – $132.89 |
| 8 | Blue Cross Blue Shield ph bcbs hmo percent of total billed charges · outpatientfrom % of charges | $153.39 | $153.39 | $153.39 – $153.39 |
| 9 | Blue Cross Blue Shield ph bcbs ppo percent of total billed charges · outpatientfrom % of charges | $173.58 | $173.58 | $173.58 – $173.58 |
| 10 | UnitedHealthcare ph uhc core percent of total billed charges · outpatientfrom % of charges | $177.58 | $177.58 | $177.58 – $177.58 |
| 11 | UnitedHealthcare ph uhc all other percent of total billed charges · outpatientfrom % of charges | $200.31 | $200.31 | $200.31 – $200.31 |
| 12 | Aetna ph aetna percent of total billed charges · outpatientfrom % of charges | $222.66 | $222.66 | $222.66 – $222.66 |
| 13 | First Health ph aetna percent of total billed charges · outpatientfrom % of charges | $222.66 | $222.66 | $222.66 – $222.66 |
| 14 | Magellan ph magellan bhs percent of total billed charges · outpatientfrom % of charges | $235.20 | $235.20 | $235.20 – $235.20 |
| 15 | MultiPlan ph multiplan/phcs percent of total billed charges · outpatientfrom % of charges | $274.40 | $274.40 | $274.40 – $274.40 |
| 16 | First Health ph first health percent of total billed charges · outpatientfrom % of charges | $294.00 | $294.00 | $294.00 – $294.00 |
| 17 | Beechstreet ph beechstreet percent of total billed charges · outpatientfrom % of charges | $313.60 | $313.60 | $313.60 – $313.60 |
| 18 | Cigna ph cigna behavioral bhs percent of total billed charges · outpatientfrom % of charges | $313.60 | $313.60 | $313.60 – $313.60 |
| 19 | Aetna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
| 20 | Blue Cross Blue Shield ph bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
| 21 | Cigna ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
| 22 | MultiPlan ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
| 23 | UnitedHealthcare ph non-contracted payors percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
| 24 | UnitedHealthcare ph uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $392.00 | $392.00 | $392.00 – $392.00 |
Last updated: Apr 1, 2026
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