RC 250

General pharmacy charges

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

SODIUM CHLORIDE 0.9 % INTRAVENOUS SOLUTION (NON-PVC)

Payers reporting RC 250

70 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +37 other terms	268	$69.54	$689.86	$0.01 – $2,332,915
2	Aetna facility · fee schedule · outpatient · +35 other terms	227	$69.52	$855.74	— – $3,322,473
3	Cigna fee schedule · outpatient · +32 other terms	196	$55.11	$479.26	$0.01 – $2,173,853
4	Humana facility · fee schedule · outpatient · +32 other terms	188	$89.73	$6,677	$0.01 – $3,980,088
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +34 other terms	184	$29.23	$11,903	$0.01 – $3,486,000
6	Anthem fee schedule · outpatient · +31 other terms	153	$33.78	$435.91	$0.01 – $1,687,198
7	MultiPlan fee schedule · outpatient · +22 other terms	97	$538.49	$1,241	$0.01 – $2,598,019
8	Tricare facility · fee schedule · outpatient · +19 other terms	89	$696.82	$7,127	$0.01 – $3,500,000
9	Molina fee schedule · outpatient · +29 other terms	87	$64.97	$181.61	$0.01 – $200,376
10	Devoted facility · fee schedule · outpatient · +16 other terms	73	$212.46	$285.14	$0.01 – $217,668
11	WellCare facility · fee schedule · outpatient · +24 other terms	67	$218.24	$7,462	$0.01 – $3,869,530
12	Kaiser fee schedule · outpatient · +24 other terms	65	$59.80	$941.68	$0.01 – $1,196,755
13	Ambetter facility · fee schedule · outpatient · +20 other terms	45	$305.91	$663.67	$0.01 – $101,285
14	Optum other · outpatient · +22 other terms	39	$52.23	$45.45	$0.52 – $10,775
15	Medica fee schedule · outpatient · +21 other terms	38	$160.59	$180.21	$0.01 – $116,789
16	Caresource fee schedule · outpatient · +22 other terms	35	$41.52	$108.51	$0.01 – $40,157
17	First Health fee schedule · outpatient · +16 other terms	35	$554.39	$1,322	$0.01 – $1,367,179
18	Medicare fee schedule · outpatient · +18 other terms	35	$3.26	$234.77	$0.01 – $77,998
19	Medicaid fee schedule · outpatient · +19 other terms	32	$52.76	$141.55	$0.01 – $68,413
20	Highmark facility · fee schedule · outpatient · +16 other terms	31	$79.27	$161.01	$0.01 – $28,140
21	Superior Healthplan facility · fee schedule · outpatient · +9 other terms	26	$25.48	$33.06	$0.01 – $6,760
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$30.67	$30.59	$0.47 – $117.88
23	Oscar facility · fee schedule · outpatient · +13 other terms	23	$65.34	$428.43	$0.02 – $11,539
24	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +4 other terms	21	$121.66	$180.39	$0.01 – $27,048
25	Sanford Health Plan fee schedule · outpatient · +11 other terms	21	$249.24	$250.70	$0.01 – $55,773

Page 1 of 3 · 70 payers