What does code 0255 cost?

Across the published hospital price files, the disclosed cash price for 0255 ranges from $0.91 to $1,963. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

0255 is the billing code hospitals use to identify "E-Z DISK 700 MG TABLET" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

0255

E-Z DISK 700 MG TABLET

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code 0255 (E-Z DISK 700 MG TABLET) appears at 12 hospitals with disclosed cash prices from $0.91 to $1,963. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

Compare 0255 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code 0255 vary by about 2157× across the 12 hospitals with disclosed prices here — from $0.91 to $1,963. Shopping around can matter.

Hospitals

Prices shown

$0.91

Lowest cash

$1,963

Highest cash

code 0255 cash price52 disclosed · 12 hospitals

$0.91median ~$37.40$1,963

Lowest cash price by hospital

Deaconess Illinois Medical Center$0.91
Henderson Hospital$1.05
Deaconess Gibson Hospital$2.26
Froedtert West Bend Hospital$8.00
Froedtert Menomonee Falls Hospital$12.24
Froedtert Holy Family Memorial Hospital$14.37

Cash price by city

Reflects your current filters.

Cash price by city$0.91 – $131

Marion · 1 hospital$0.91–$131
Henderson · 1 hospital$1.05–$5.70
Princeton · 1 hospital$2.26–$61.22
West Bend · 1 hospital$8.00–$121
Menomonee Falls · 1 hospital$12.24–$119
Manitowoc · 1 hospital$14.37–$119

52 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
E-Z DISK 700 MG TABLET Inpatient	Carle Foundation Hospital	0255 RC	$1,963	$1,963	$196 – $1,297	—
LIQUID POLIBAR PLUS 105 % (W/V), 58 % (W/W) ORAL SUSPENSION Inpatient	Carle Foundation Hospital	0255 RC	$239	$239	$23.94 – $158	—
READI-CAT 2 2 % (W/V) ORAL SUSPENSION Inpatient	Carle Foundation Hospital	0255 RC	$29.70	$29.70	$2.97 – $19.63	—
NEULUMEX 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION Inpatient	Carle Foundation Hospital	0255 RC	$51.30	$51.30	$5.13 – $33.91	—
E-Z DISK 700 MG TABLET Inpatient	Methodist Medical Center of Illinois	0255 RC	$1,963	$1,963	$196 – $1,297	—
LIQUID POLIBAR PLUS 105 % (W/V), 58 % (W/W) ORAL SUSPENSION Inpatient	Methodist Medical Center of Illinois	0255 RC	$239	$239	$23.94 – $158	—
READI-CAT 2 2 % (W/V) ORAL SUSPENSION Inpatient	Methodist Medical Center of Illinois	0255 RC	$29.70	$29.70	$2.97 – $19.63	—
NEULUMEX 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION Inpatient	Methodist Medical Center of Illinois	0255 RC	$51.30	$51.30	$5.13 – $33.91	—
E-Z DISK 700 MG TABLET Inpatient	Carle BroMenn Medical Center	0255 RC	$1,963	$1,963	$196 – $1,297	—
LIQUID POLIBAR PLUS 105 % (W/V), 58 % (W/W) ORAL SUSPENSION Inpatient	Carle BroMenn Medical Center	0255 RC	$239	$239	$23.94 – $158	—
READI-CAT 2 2 % (W/V) ORAL SUSPENSION Inpatient	Carle BroMenn Medical Center	0255 RC	$29.70	$29.70	$2.97 – $19.63	—
NEULUMEX 0.1 % (W/V), 0.1 % (W/W) ORAL SUSPENSION Inpatient	Carle BroMenn Medical Center	0255 RC	$51.30	$51.30	$5.13 – $33.91	—
Fludeoxyglucose F 18: 50 mL in 1 VIAL, GLASS (76419-111-50) Inpatient & outpatient	OSF Saint Francis Medical Center	0255 RC	$1,450	$870	—	—
FDG PER DOSE,UP TO 45 MCI Inpatient & outpatient	OSF Saint Francis Medical Center	0255 RC	$1,568	$941	—	—
BARIUM SULFATE PO CAPS Inpatient	Deaconess Gateway Hospital	0255 RC	$120	$39.60	$39.60 – $106	—
AMINOLEVULINIC ACID HCL 1.5 G PO SOLR Inpatient	Deaconess Gateway Hospital	0255 RC	$3,836	$1,266	$1,266 – $3,375	—
barium sulfate 40 % Suspension 240 mL Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$53.72	$29.55	$16.12 – $48.35	—
barium sulfate 40 % Suspension 60 mL Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$86.90	$47.80	$26.07 – $78.21	—
barium sulfate 40 % Recon Susp 148 g Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$27.27	$15.00	$8.18 – $24.54	—
barium sulfate 96 % Recon Susp 176 g Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$22.25	$12.24	$6.68 – $20.03	—
barium sulfate 40 % Paste 230 mL Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$205	$113	$61.39 – $184	—
barium sulfate 40 % Suspension 250 mL Bottle Outpatient	Froedtert Menomonee Falls Hospital	0255 RC	$216	$119	$64.76 – $194	—
barium sulfate 700 MG Tab 100 Each Bottle Inpatient	Froedtert West Bend Hospital	0255 RC	$14.54	$8.00	$8.72 – $13.81	—
barium sulfate 0.1 % Suspension 450 mL Bottle Inpatient	Froedtert West Bend Hospital	0255 RC	$38.25	$21.04	$22.95 – $36.34	—
Barium Sulfate Cap 10 Each Box Inpatient	Froedtert West Bend Hospital	0255 RC	$68.00	$37.40	$40.80 – $64.60	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish 0255 prices

Open a hospital to see this code in the context of its full published prices.

Carle Foundation Hospital Methodist Medical Center of Illinois Carle BroMenn Medical Center OSF Saint Francis Medical Center Deaconess Gateway Hospital Froedtert Menomonee Falls Hospital Froedtert West Bend Hospital Froedtert Holy Family Memorial Hospital Henderson Hospital Deaconess Gibson Hospital The Women's Hospital Deaconess Illinois Medical Center

Code 0255: frequently asked

What does code 0255 cost?: Across the published hospital price files, the disclosed cash price for 0255 ranges from $0.91 to $1,963. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code 0255?: 0255 is the billing code hospitals use to identify "E-Z DISK 700 MG TABLET" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

All CPT / HCPCS codes Browse hospitals How to read this data

Hospitals publishing code 0255 by state

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