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
Iopamidol IV Soln 76%
Cavalier, ND
See all hospitals reporting RC 255 →Price type
Pembina County Memorial Hospital Association’s median price of $2 is 95% below the median hospital's median price ($54), higher than 14% 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: 6 payers, 8 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 | UnitedHealthcare united healthcare facility · fee schedule · both | $2.89 | $2.89 | $2.89 – $2.89 |
| 2 | Medica other commercial facility · fee schedule · both | $3.45 | $3.45 | $3.45 – $3.45 |
| 3 | Bcbs Mn blue cross blue shield of mn facility · percent of total billed charges · bothfrom % of charges | $2.10 | $7.53 | $2.10 – $18.40 |
| 4 | UnitedHealthcare medicare advantage facility · fee schedule · both | $10.10 | $10.10 | $2.07 – $18.13 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · both | $10.49 | $10.49 | $2.15 – $18.83 |
| 6 | Medica medicare advantage facility · fee schedule · both | $10.49 | $10.49 | $2.15 – $18.83 |
| 7 | Sanford Health Plan medicare advantage facility · fee schedule · both | $10.50 | $10.50 | $2.15 – $18.84 |
| 8 | Bcbs Nd blue cross blue shield of nd facility · percent of total billed charges · bothfrom % of charges | $22.04 | $17.07 | $2.45 – $26.72 |
Last updated: Nov 13, 2025
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