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
sucralfate 100 mg/mL Susp 10 mL CUP
St Paul, MN
See all hospitals reporting RC 250 →Price type
Allina Health Systems’s median price of $10 is 44% below the median hospital's median price ($18), higher than 35% 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, 37 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 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Mn bc pmap (amu) facility · percent of total billed charges · outpatientfrom % of charges | $1.73 | $24.65 | $0.53 – $14,942 |
| 3 | Bcbs Mn bc premier (m u) facility · percent of total billed charges · outpatientfrom % of charges | $3.17 | $45.19 | $0.98 – $27,389 |
| 4 | Bcbs Mn bc state health plan (mu) facility · percent of total billed charges · outpatientfrom % of charges | $3.20 | $45.56 | $0.98 – $27,616 |
| 5 | Blue Cross Blue Shield allina health blueprint (mu) facility · percent of total billed charges · outpatientfrom % of charges | $3.61 | $51.55 | $1.11 – $31,248 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · percent of total billed charges · outpatientfrom % of charges | $3.73 | $53.15 | $1.15 – $32,218 |
| 7 | Bcbs Mn bc high value/performance network (mu) facility · percent of total billed charges · outpatientfrom % of charges | $4.00 | $57.06 | $1.23 – $34,586 |
| 8 | Bcbs Mn bc aware/blue plus (m u) facility · percent of total billed charges · outpatientfrom % of charges | $4.21 | $60.06 | $1.30 – $36,406 |
| 9 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $1.16 | $75.20 | $0.01 – $28,936 |
| 10 | Bcbs Mn bc premier (m u) facility · other · outpatient | $1.31 | $85.50 | $0.01 – $32,654 |
| 11 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $1.54 | $100.58 | $0.01 – $38,412 |
| 12 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $1.58 | $102.41 | $0.01 – $39,234 |
| 13 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $1.65 | $107.96 | $0.01 – $41,233 |
| 14 | Bcbs Mn bc aware/blue plus (m u) facility · other · outpatient | $1.74 | $113.65 | $0.02 – $43,404 |
| 15 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $6.66 | $118.73 | $0.06 – $24,648 |
| 16 | Blue Cross Blue Shield allina health blueprint (mu) facility · other · outpatient | $1.85 | $120.38 | $0.02 – $46,132 |
| 17 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $7.35 | $131.00 | $0.07 – $27,196 |
| 18 | Medicaid medicaid ma (u) facility · fee schedule · outpatient | $14.78 | $183.12 | $0.02 – $24,292 |
| 19 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $11.67 | $208.40 | $0.30 – $43,183 |
| 20 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $12.41 | $221.70 | $0.32 – $45,939 |
| 21 | UnitedHealthcare uhc ubh pmap (u) facility · other · outpatient | $18.47 | $228.90 | $0.03 – $30,365 |
| 22 | UnitedHealthcare united healthcare (um) facility · percent of total billed charges · outpatientfrom % of charges | $240.41 | $240.41 | $236.90 – $243.91 |
| 23 | Medica medica dual solutions (a u) facility · percent of total billed charges · outpatientfrom % of charges | $14.70 | $262.01 | $0.13 – $54,392 |
| 24 | Aetna allina aetna medicare (u) facility · fee schedule · outpatient | $26.37 | $292.34 | $0.04 – $27,003 |
| 25 | Medicare medicare (u) facility · fee schedule · outpatient | $27.75 | $307.72 | $0.04 – $28,424 |
Last updated: Jun 16, 2026
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