RC 252
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.
Original text from hospital filings
Pharmacy Nongeneric Drugs
Low
$8
Average
$4.1k
Median
$175
High
$59.8k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 3.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University Medical Center of Southern Nevada Las Vegas, NV percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $13 | $35 | 272% | 2,984–3,506 | $0 – $298 |
| 2 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $181 | $182 | $196 | 108% | 299–335 | $0 – $2.3k |
| 3 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $181 | $182 | $196 | 108% | 299–335 | $0 – $2.3k |
| 4 | Methodist Hospitals of Dallas Mansfield, TX other · both | 1 | $182 | $173 | $105 | 61% | 11 | $0 – $1.1k |
| 5 | Methodist Hospitals of Dallas Dallas, TX other · both | 1 | $181 | $184 | $210 | 114% | 11 | $0 – $3.1k |
| 6 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $182 | $175 | $33 | 19% | 1–10 | $0 – $271 |
| 7 | Methodist Hospitals of Dallas Midlothian, TX other · both | 1 | $181 | $168 | $47 | 28% | 1–10 | $0 – $271 |
| 8 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $182 | $175 | $33 | 19% | 1–10 | $0 – $271 |
| 9 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL other · both | 1 | $659 | $486 | $302 | 62% | — | $128 – $859 |
| 10 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · bothfrom % of charges | 2 | $66 | $252 | $418 | 166% | — | $1 – $1.8k |
| 11 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 12 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · fee schedule · outpatient | 2 | $154 | $154 | $83 | 54% | — | $71 – $238 |
| 13 | Methodist Hospitals of Dallas Celina, TX other · both | 1 | $181 | $175 | $39 | 22% | — | $0 – $476 |
| 14 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $59 | $85 | $57 | 67% | — | $59 – $227 |
| 16 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $381 | $1.9k | 509% | — | $1 – $25.7k |
| 17 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $80 | $115 | $78 | 67% | — | $80 – $308 |
| 18 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 19 | University Medical Center of Southern Nevada Las Vegas, NV fee schedule · outpatient | 1 | $80 | $68.8k | $556.2k | 808% | — | $0 – $6068.3k |
← Payers reporting RC 252 · Snapshot 20261111T120946Z-9134e7f7