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 1% (PF) 10MG
Rock, TX
See all hospitals reporting RC 250 →Price type
Ascension Seton’s median price of $14 is 24% below the median hospital's median price ($18), higher than 43% 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: 13 payers, 110 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 5019_blue cross star kids (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $2.17 | $16.14 | $0.02 – $4,367 |
| 2 | Blue Cross Blue Shield 4176_blue cross chip (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $2.19 | $16.15 | $0.02 – $4,367 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.34 | $32.29 | $0.04 – $8,735 |
| 4 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.34 | $32.29 | $0.04 – $8,735 |
| 5 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.36 | $32.29 | $0.04 – $8,735 |
| 6 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 7 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 8 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 9 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 10 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.36 | $32.30 | $0.04 – $8,735 |
| 11 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 12 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.38 | $32.30 | $0.04 – $8,735 |
| 13 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.38 | $32.31 | $0.04 – $8,735 |
| 14 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $4.38 | $32.31 | $0.04 – $8,735 |
| 15 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.38 | $32.31 | $0.04 – $8,735 |
| 16 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges | $6.23 | $46.14 | $0.05 – $12,478 |
| 17 | Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges | $10.59 | $78.43 | $0.09 – $21,213 |
| 18 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $12.40 | $92.25 | $0.10 – $24,957 |
| 19 | Superior Healthplan 3517_chirp superior star (wil) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $12.45 | $92.27 | $0.10 – $24,957 |
| 20 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $12.45 | $92.27 | $0.10 – $24,957 |
| 21 | Superior Healthplan 4188_superior star foster outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $12.45 | $92.27 | $0.10 – $24,957 |
| 22 | Superior Healthplan 4249_chirp superior star (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $12.45 | $92.27 | $0.10 – $24,957 |
| 23 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $12.45 | $92.27 | $0.10 – $24,957 |
| 24 | Superior Healthplan 4383_chirp superior star plus (wil) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $12.50 | $92.29 | $0.10 – $24,957 |
| 25 | Superior Healthplan 4888_superior star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $12.50 | $92.29 | $0.10 – $24,957 |
Last updated: Jan 1, 2026
See General pharmacy charges pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.