RC 255

Pharmacy at Saint Alphonsus Regional Medical Center - Boise

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 200 MG IODINE/ML (41 %) INTRATHECAL SOLUTION

Boise, ID

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Pricing by billing methodology

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How this price compares nationally

Saint Alphonsus Regional Medical Center - Boise’s median price of $56 is 3% above the median hospital's median price ($54), higher than 50% of the 1,205 hospitals reporting RC 255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 255 at Saint Alphonsus Regional Medical Center - Boise

Negotiated rates from the hospital’s own file: 17 payers, 31 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	Molina molina im plus medicaid facility · fee schedule · both	$10.30	$24.50	$1.85 – $130.81
2	Blue Cross Blue Shield blue cross of idaho connected care facility · fee schedule · both	$48.15	$68.03	$13.77 – $233.46
3	Cigna cigna facility · fee schedule · both	$28.59	$69.50	$5.34 – $373.78
4	Anthem bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
5	Blue Cross Blue Shield bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
6	Carefirst bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
7	Excellus bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
8	Highmark bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
9	Kaiser bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
10	Premera bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
11	Regence bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
12	Wellmark bci hmo facility · fee schedule · both	$53.50	$75.59	$15.30 – $259.40
13	Magellan magellan medicaid facility · percent of total billed charges · bothfrom % of charges	$35.18	$248.83	$14.07 – $1,836
14	Humana humana facility · percent of total billed charges · bothfrom % of charges	$103.18	$729.88	$41.27 – $5,386
15	First Health first health facility · percent of total billed charges · bothfrom % of charges	$105.53	$746.47	$42.21 – $5,508
16	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$105.53	$746.47	$42.21 – $5,508
17	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$107.64	$761.40	$43.05 – $5,618
18	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$111.39	$787.94	$42.21 – $6,120
19	Humana health value management medicare adv facility · percent of total billed charges · bothfrom % of charges	$117.25	$829.41	$46.90 – $6,120
20	Molina molina im plus medicaid facility · percent of total billed charges · bothfrom % of charges	$1,891	$1,891	$1,891 – $1,891
21	Blue Cross Blue Shield blue cross of idaho connected care facility · percent of total billed charges · bothfrom % of charges	$3,917	$3,917	$3,917 – $3,917
22	Anthem bci hmo facility · percent of total billed charges · bothfrom % of charges	$4,345	$4,345	$4,345 – $4,345
23	Blue Cross Blue Shield bci hmo facility · percent of total billed charges · bothfrom % of charges	$4,345	$4,345	$4,345 – $4,345
24	Carefirst bci hmo facility · percent of total billed charges · bothfrom % of charges	$4,345	$4,345	$4,345 – $4,345
25	Excellus bci hmo facility · percent of total billed charges · bothfrom % of charges	$4,345	$4,345	$4,345 – $4,345

Page 1 of 2 · 31 rates

Last updated: Mar 31, 2026

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