RC 250
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
DICLOFENAC 1 % TOPICAL GEL
Missouri Valley, IA
See all hospitals reporting RC 250 →Price type
Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa’s median price of $84 is 359% above the median hospital's median price ($18), higher than 88% of the 1,901 hospitals reporting RC 250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 26 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 | Humana medicare|all plans fee schedule · outpatient | $38.81 | $219.41 | $0.38 – $13,902 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $38.81 | $219.41 | $0.38 – $13,902 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $38.81 | $219.41 | $0.38 – $13,902 |
| 4 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $47.68 | $269.56 | $0.46 – $17,080 |
| 5 | Wellmark commercial|hmo fee schedule · inpatient | $62.82 | $357.70 | $0.61 – $22,640 |
| 6 | Wellmark commercial|ppo fee schedule · inpatient | $62.82 | $357.70 | $0.61 – $22,640 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $100.07 | $565.77 | $0.96 – $35,847 |
| 8 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $99.47 | $566.36 | $0.96 – $35,847 |
| 9 | Medica commercial|all other plans fee schedule · outpatient | $100.90 | $570.47 | $0.97 – $36,145 |
| 10 | Medica commercial|chi health fee schedule · outpatient | $100.90 | $570.47 | $0.97 – $36,145 |
| 11 | Medica commercial|all other plans fee schedule · inpatient | $100.29 | $571.07 | $0.97 – $36,145 |
| 12 | Medica commercial|chi health fee schedule · inpatient | $100.29 | $571.07 | $0.97 – $36,145 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $105.33 | $595.54 | $1.01 – $37,734 |
| 14 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $104.70 | $596.17 | $1.01 – $37,734 |
| 15 | Medica commercial|aco fee schedule · outpatient | $106.44 | $601.81 | $1.02 – $38,131 |
| 16 | Medica commercial|open access fee schedule · outpatient | $106.44 | $601.81 | $1.02 – $38,131 |
| 17 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $106.44 | $601.81 | $1.02 – $38,131 |
| 18 | Medica commercial|aco fee schedule · inpatient | $105.80 | $602.44 | $1.02 – $38,131 |
| 19 | Medica commercial|open access fee schedule · inpatient | $105.80 | $602.44 | $1.02 – $38,131 |
| 20 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $105.80 | $602.44 | $1.02 – $38,131 |
| 21 | MultiPlan commercial|all plans fee schedule · outpatient | $108.66 | $614.35 | $1.04 – $38,925 |
| 22 | Phcs commercial|all plans fee schedule · outpatient | $108.66 | $614.35 | $1.04 – $38,925 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $108.00 | $614.99 | $1.04 – $38,925 |
| 24 | Phcs commercial|all plans fee schedule · inpatient | $108.00 | $614.99 | $1.04 – $38,925 |
| 25 | Wellmark commercial|hmo fee schedule · outpatient | $2.21 | $1,029 | $0.65 – $3,900 |
Last updated: Feb 28, 2026
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