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
gadopiclenol (Vueway) 0.5 MMOL/ML injection
Beeville, TX
See all hospitals reporting RC 255 →Price type
Spohn Hospital Beeville’s median price of $86 is 58% above the median hospital's median price ($54), higher than 61% 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: 11 payers, 34 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 | Cigna ppo fee schedule · outpatient | $0.46 | $0.53 | $0.46 – $0.66 |
| 2 | Aetna mm fee schedule · outpatient | $0.17 | $2.26 | $0.17 – $14.75 |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $1.85 | $2.76 | $0.14 – $14.71 |
| 4 | UnitedHealthcare hix fee schedule · outpatient | $1.85 | $2.76 | $0.14 – $14.71 |
| 5 | Humana choicecare fee schedule · outpatient | $0.24 | $4.22 | $0.24 – $27.74 |
| 6 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $16.76 | $18.03 | $0.56 – $48.69 |
| 7 | Bcbs Tx hmo fee schedule · outpatient | $18.00 | $19.37 | $0.60 – $52.31 |
| 8 | Bcbs Tx heb fee schedule · outpatient | $19.36 | $20.84 | $0.65 – $56.26 |
| 9 | Bcbs Tx ppo fee schedule · outpatient | $20.44 | $22.00 | $0.69 – $59.38 |
| 10 | Bcbs Tx traditional fee schedule · outpatient | $21.62 | $23.27 | $0.73 – $62.84 |
| 11 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $45.96 | $47.94 | $0.32 – $123.44 |
| 12 | UnitedHealthcare star kids km percent of total billed charges · outpatientfrom % of charges | $45.96 | $47.94 | $0.32 – $123.44 |
| 13 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $45.96 | $47.94 | $0.32 – $123.44 |
| 14 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $45.96 | $47.94 | $0.32 – $123.44 |
| 15 | Bcbs Tx blue advantage hmo percent of total billed charges · outpatientfrom % of charges | $34.71 | $69.90 | $1.66 – $264.71 |
| 16 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $36.40 | $73.32 | $1.75 – $277.62 |
| 17 | Bcbs Tx heb percent of total billed charges · outpatientfrom % of charges | $39.79 | $80.14 | $1.91 – $303.45 |
| 18 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $80.44 | $83.90 | $0.56 – $216.02 |
| 19 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $42.33 | $85.25 | $2.03 – $322.82 |
| 20 | Bcbs Tx traditional percent of total billed charges · outpatientfrom % of charges | $45.71 | $92.07 | $2.19 – $348.65 |
| 21 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $161.32 | $135.70 | $0.93 – $290.23 |
| 22 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $172.38 | $179.80 | $1.22 – $462.90 |
| 23 | Molina star km percent of total billed charges · outpatientfrom % of charges | $172.38 | $179.80 | $1.22 – $462.90 |
| 24 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $172.38 | $179.80 | $1.22 – $462.90 |
| 25 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $172.38 | $179.80 | $1.22 – $462.90 |
Last updated: Jan 13, 2026
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