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
Gadoteridol Injection [SMCE]
Kellogg, ID
See all hospitals reporting RC 255 →Price type
West Shoshone Hospital District’s median price of $174 is 219% above the median hospital's median price ($54), higher than 78% 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: 6 payers, 10 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 Id medicare advantage facility · fee schedule · both | $87.83 | $85.96 | $78.69 – $91.37 |
| 2 | UnitedHealthcare medicare advantage facility · fee schedule · both | $87.83 | $85.96 | $78.69 – $91.37 |
| 3 | Aetna medicare advantage facility · fee schedule · both | $114.39 | $111.96 | $102.48 – $119.00 |
| 4 | Aetna auto facility · fee schedule · both | $142.98 | $139.94 | $128.10 – $148.75 |
| 5 | Aetna work comp facility · fee schedule · both | $142.98 | $139.94 | $128.10 – $148.75 |
| 6 | Aetna commercial facility · fee schedule · both | $183.84 | $179.93 | $164.70 – $191.25 |
| 7 | Cigna commercial facility · fee schedule · both | $194.05 | $189.92 | $173.85 – $201.87 |
| 8 | MultiPlan commercial facility · fee schedule · both | $194.05 | $189.92 | $173.85 – $201.87 |
| 9 | Regence commercial facility · fee schedule · both | $194.05 | $189.92 | $173.85 – $201.87 |
| 10 | UnitedHealthcare commercial facility · fee schedule · both | $194.05 | $189.92 | $173.85 – $201.87 |
Last updated: Sep 29, 2026
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