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
LIDOCAINE HCL 20 MG/ML (2 %) INJECTION SOLN (MIXTURE) [301219]
Arlington, TX
See all hospitals reporting RC 250 →Price type
AMH Cath Labs LLC’s median price of $29 is 60% above the median hospital's median price ($18), higher than 63% 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $6.83 | $6.83 | $6.83 – $6.83 |
| 2 | Humana medicare advantage case rate · outpatient | $7.10 | $7.10 | $7.10 – $7.10 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $7.10 | $7.10 | $7.10 – $7.10 |
| 4 | Molina medicare advantage case rate · outpatient | $7.17 | $7.17 | $7.17 – $7.17 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $7.17 | $7.17 | $7.17 – $7.17 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $7.51 | $7.51 | $7.51 – $7.51 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $7.58 | $7.58 | $7.58 – $7.58 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $7.72 | $7.72 | $7.72 – $7.72 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $15.52 | $14.57 | $0.10 – $30.52 |
| 10 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.43 | $14.80 | $0.09 – $801.00 |
| 11 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.43 | $14.80 | $0.09 – $801.00 |
| 12 | Blue Cross Blue Shield exchange fee schedule · outpatient | $15.92 | $14.94 | $0.11 – $31.29 |
| 13 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.71 | $15.55 | $0.09 – $841.50 |
| 14 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.87 | $15.98 | $0.10 – $864.90 |
| 15 | Blue Cross Blue Shield ppo fee schedule · outpatient | $17.25 | $16.19 | $0.11 – $33.91 |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.98 | $16.28 | $0.10 – $881.10 |
| 17 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $18.39 | $48.11 | $0.29 – $2,610 |
| 18 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $21.11 | $57.51 | $0.35 – $3,112 |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $70.58 | $66.24 | $0.47 – $138.75 |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $25.07 | $68.29 | $0.41 – $3,695 |
| 21 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $29.30 | $76.64 | $0.46 – $4,158 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $28.15 | $76.67 | $0.46 – $4,149 |
| 23 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $32.60 | $85.26 | $0.51 – $4,626 |
| 24 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $31.58 | $86.01 | $0.52 – $4,655 |
| 25 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $33.43 | $91.05 | $0.55 – $4,928 |
Last updated: Apr 21, 2026
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