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.
Original text from hospital filings
HC ASSAY OF SELENIUM - SELENIUM SERUM
San Diego, CA
See all hospitals reporting CPT 84255 →Price type
Sharp Memorial Hospital’s median price of $9 is 75% below the median hospital's median price ($37), higher than 0% of the 2,444 hospitals reporting CPT 84255. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 | Medicare medicare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | UnitedHealthcare united healthcare - medicare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield blue shield - hmo percent of total billed charges · inpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Kaiser kaiser - hmo percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Medicare medicare percent of total billed charges · inpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Blue Cross Blue Shield blue cross - prudent buyer percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Blue Cross Blue Shield blue shield - promise percent of total billed charges · inpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Blue Cross Blue Shield blue cross - ppo percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 9 | Cigna cigna - hmo percent of total billed charges · inpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 10 | Blue Cross Blue Shield blue shield - hmo percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 11 | UnitedHealthcare united healthcare - ppo percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 12 | Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 13 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Aetna first health - direct percent of total billed charges · outpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
Last updated: Apr 1, 2026
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