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
leucovorin 10 mg/mL Solr 1 each VIAL
River Falls, WI
See all hospitals reporting RC 250 →Price type
Allina Health Systems’s median price of $7 is 63% below the median hospital's median price ($18), higher than 25% 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: 9 payers, 25 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 Mn bc pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.73 | $16.22 | $0.83 – $3,914 |
| 2 | Bcbs Mn bc premier (r) facility · percent of total billed charges · outpatientfrom % of charges | $2.08 | $19.42 | $0.99 – $4,685 |
| 3 | Bcbs Mn bc state health plan (r) facility · percent of total billed charges · outpatientfrom % of charges | $2.19 | $20.52 | $1.05 – $4,952 |
| 4 | Blue Cross Blue Shield bc aehp (r) facility · percent of total billed charges · outpatientfrom % of charges | $2.44 | $22.84 | $1.16 – $5,512 |
| 5 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $1.12 | $37.47 | $0.01 – $4,969 |
| 6 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $1.26 | $42.31 | $0.01 – $5,607 |
| 7 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $1.49 | $49.77 | $0.01 – $6,596 |
| 8 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $1.68 | $56.22 | $0.02 – $7,453 |
| 9 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $4.19 | $96.04 | $0.60 – $69,648 |
| 10 | Cigna hpi cigna (r) facility · other · outpatient | $7.59 | $119.19 | $0.15 – $5,094 |
| 11 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $12.72 | $119.40 | $0.02 – $4,819 |
| 12 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $5.61 | $128.40 | $0.81 – $93,118 |
| 13 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $26.60 | $140.18 | $0.24 – $4,909 |
| 14 | Medicare medicare (r) facility · fee schedule · outpatient | $27.99 | $147.56 | $0.25 – $5,167 |
| 15 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $9.26 | $212.06 | $1.33 – $153,792 |
| 16 | Medica medica medicare (r) facility · fee schedule · outpatient | $9.26 | $212.06 | $1.33 – $153,792 |
| 17 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $9.38 | $214.79 | $1.35 – $155,773 |
| 18 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $12.72 | $292.49 | $1.84 – $212,094 |
| 19 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $12.89 | $295.36 | $1.86 – $214,206 |
| 20 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $13.74 | $315.97 | $1.99 – $229,125 |
| 21 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $13.93 | $319.08 | $2.01 – $231,410 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $17.50 | $400.94 | $2.52 – $290,777 |
| 23 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $17.44 | $400.99 | $2.52 – $290,777 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $17.56 | $403.76 | $2.54 – $292,785 |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $17.80 | $407.77 | $2.56 – $295,727 |
Last updated: Jun 15, 2026
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