RC 450
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
HCHG ED IV INJECTION TX/DX/PROPH ADDL SEQUENTIAL
Ulm, MN
See all hospitals reporting RC 450 →Price type
Allina Health Systems’s median price of $209 is 65% below the median hospital's median price ($592), higher than 4% of the 1,975 hospitals reporting RC 450. 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, 31 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $51.33 | $137.16 | $6.52 – $602.07 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $65.08 | $171.06 | $10.30 – $951.58 |
| 3 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $149.39 | $207.77 | $20.67 – $430.87 |
| 4 | Bcbs Mn bc pmap (n) facility · other · outpatient | $120.38 | $218.72 | $14.79 – $1,076 |
| 5 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $178.83 | $248.71 | $24.74 – $515.77 |
| 6 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $150.33 | $251.61 | $45.85 – $808.73 |
| 7 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $189.01 | $262.88 | $26.15 – $545.16 |
| 8 | Medicare medicare (n) facility · fee schedule · outpatient | $158.24 | $264.86 | $48.26 – $851.30 |
| 9 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $210.37 | $292.58 | $29.11 – $606.76 |
| 10 | Medicaid medicaid ma (n) facility · other · outpatient | $111.67 | $298.41 | $14.18 – $1,310 |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $113.33 | $302.87 | $14.40 – $1,329 |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $114.80 | $306.77 | $14.58 – $1,347 |
| 13 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $225.82 | $314.07 | $31.24 – $651.31 |
| 14 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $118.61 | $316.96 | $15.07 – $1,391 |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $156.30 | $417.69 | $19.85 – $1,833 |
| 16 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $157.86 | $421.84 | $20.05 – $1,852 |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $168.85 | $451.23 | $21.45 – $1,981 |
| 18 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $170.53 | $455.73 | $21.66 – $2,000 |
| 19 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $178.57 | $477.20 | $22.68 – $2,095 |
| 20 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $204.08 | $545.37 | $25.92 – $2,394 |
| 21 | Cigna hpi cigna (n) facility · other · outpatient | $208.62 | $557.50 | $26.50 – $2,447 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $214.28 | $572.64 | $27.22 – $2,514 |
| 23 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $214.28 | $572.64 | $27.22 – $2,514 |
| 24 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $214.28 | $572.64 | $27.22 – $2,514 |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $215.76 | $576.59 | $27.40 – $2,531 |
Last updated: Jun 16, 2026
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