RC 255

Pharmacy at St Joseph Mercy Ann Arbor

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 300 MG IODINE/ML (61 %) INTRAVENOUS SOLUTION

Ypsilanti, MI

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How this price compares nationally

St Joseph Mercy Ann Arbor’s median price of $47 is 13% below the median hospital's median price ($54), higher than 46% 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 St Joseph Mercy Ann Arbor

Negotiated rates from the hospital’s own file: 19 payers, 23 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 bcbs mi local hmo facility · fee schedule · both	$9.61	$14.12	$2.08 – $40.59
2	Anthem bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
3	Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
4	Carefirst bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
5	Excellus bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
6	Highmark bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
7	Kaiser bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
8	Premera bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
9	Regence bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
10	Wellmark bcbs trad / trust facility · fee schedule · both	$15.73	$23.13	$3.41 – $66.49
11	Caresource hap hmo facility · fee schedule · both	$24.50	$35.90	$5.51 – $110.25
12	Aetna aetna ppo facility · fee schedule · both	$31.20	$44.87	$7.02 – $127.92
13	Aetna aetna preferred facility · percent of total billed charges · bothfrom % of charges	$48.57	$59.68	$4.41 – $221.78
14	Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges	$60.61	$74.48	$5.50 – $276.78
15	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$94.80	$116.49	$8.60 – $432.90
16	Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$99.72	$122.54	$9.05 – $455.38
17	Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$99.72	$122.54	$9.05 – $455.38
18	Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$99.72	$122.54	$9.05 – $455.38
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$99.72	$122.54	$9.05 – $455.38
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$99.72	$122.54	$9.05 – $455.38
21	Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges	$100.51	$123.51	$9.12 – $458.99
22	First Health first health facility · percent of total billed charges · bothfrom % of charges	$102.22	$125.61	$9.27 – $466.79
23	UnitedHealthcare student insurance facility · percent of total billed charges · bothfrom % of charges	$116.56	$143.23	$10.58 – $532.26

Last updated: Mar 31, 2026

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