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
GRANISETRON/100MCG 100MCG/2ML SNIJ
Payson, AZ
See all hospitals reporting RC 250 →Price type
Banner Payson Medical Center’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: 8 payers, 23 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 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $6.67 | $9.26 | $0.02 – $32.72 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.72 | $9.33 | $0.02 – $32.96 |
| 3 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.72 | $9.33 | $0.02 – $32.96 |
| 4 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $6.72 | $9.33 | $0.02 – $32.96 |
| 5 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.72 | $9.33 | $0.02 – $32.96 |
| 6 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.72 | $9.33 | $0.02 – $32.96 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7.13 | $9.89 | $0.02 – $34.94 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7.40 | $10.27 | $0.02 – $36.26 |
| 9 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $8.69 | $12.07 | $0.02 – $42.61 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $9.15 | $12.70 | $0.02 – $44.86 |
| 11 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $10.55 | $14.64 | $0.03 – $51.70 |
| 12 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $10.55 | $14.64 | $0.03 – $51.70 |
| 13 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $10.86 | $15.07 | $0.03 – $53.22 |
| 14 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $10.99 | $15.25 | $0.03 – $53.87 |
| 15 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $11.09 | $15.40 | $0.03 – $54.39 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $13.05 | $18.12 | $0.03 – $64.00 |
| 17 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $13.05 | $18.12 | $0.03 – $64.00 |
| 18 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $8.96 | $42.54 | $0.44 – $470.09 |
| 19 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $9.56 | $45.38 | $0.47 – $501.43 |
| 20 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $10.04 | $47.65 | $0.49 – $526.50 |
| 21 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $11.41 | $54.18 | $0.56 – $598.66 |
| 22 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $11.95 | $56.72 | $0.59 – $626.79 |
| 23 | Bcbs Az commercial facility · fee schedule · outpatient | $11.95 | $56.72 | $0.59 – $626.79 |
Last updated: Mar 2, 2026
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