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
CONTRAST GASTROGRAFIN 120ML--044540
Mobile, AL
See all hospitals reporting RC 255 →Price type
USA Health University Hospital’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.
Negotiated rates from the hospital’s own file: 8 payers, 11 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 | Bcbs Al medicare advantage facility · other · outpatient | $7.00 | $7.40 | $7.00 – $8.20 |
| 2 | Ambetter commercial/exchange facility · other · outpatient | $26.78 | $26.78 | $26.78 – $26.78 |
| 3 | Bcbs Al commercial facility · other · outpatient | $32.67 | $32.67 | $32.67 – $32.67 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $39.19 | $42.76 | $29.52 – $63.14 |
| 5 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $45.50 | $49.64 | $34.27 – $73.30 |
| 6 | UnitedHealthcare all payor/commercial facility · percent of total billed charges · outpatientfrom % of charges | $51.62 | $56.32 | $38.88 – $83.16 |
| 7 | UnitedHealthcare ppo/commercial facility · percent of total billed charges · outpatientfrom % of charges | $51.62 | $56.32 | $38.88 – $83.16 |
| 8 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $62.13 | $67.79 | $46.80 – $100.10 |
| 9 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $62.13 | $67.79 | $46.80 – $100.10 |
| 10 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $66.91 | $73.01 | $50.40 – $107.80 |
| 11 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $86.03 | $93.86 | $64.80 – $138.60 |
Last updated: Apr 30, 2026
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