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
ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (SO)
Dodge City, KS
See all hospitals reporting RC 250 →Price type
Commonspirit Kansas, Inc.’s median price of $49 is 164% above the median hospital's median price ($18), higher than 76% 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, 25 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 managed medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 2 | Bcbs Ks managed medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 3 | Cigna managed medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 4 | Humana managed medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 5 | Kaiser managed medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 6 | Medicare medicare fee schedule · outpatient | $3.28 | $3.26 | $3.18 – $3.28 |
| 7 | Aetna managed medicare other · inpatient | $10.21 | $25.48 | $10.21 – $71.28 |
| 8 | Aetna managed medicare other · outpatient | $10.21 | $25.48 | $10.21 – $71.28 |
| 9 | Medicare medicare other · inpatient | $59.22 | $59.22 | $59.22 – $59.22 |
| 10 | Medicare medicare other · outpatient | $59.22 | $59.22 | $59.22 – $59.22 |
| 11 | Cigna managed medicare other · inpatient | $71.28 | $71.28 | $71.28 – $71.28 |
| 12 | Cigna managed medicare other · outpatient | $71.28 | $71.28 | $71.28 – $71.28 |
| 13 | Bcbs Ks commercial ppo/hmo other · inpatient | $76.50 | $75.06 | $2.96 – $76.50 |
| 14 | Bcbs Ks managed medicare other · inpatient | $76.50 | $75.26 | $3.34 – $76.50 |
| 15 | Bcbs Ks managed medicare other · outpatient | $76.50 | $75.26 | $3.34 – $76.50 |
| 16 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $39.93 | $222.41 | $1.56 – $14,713 |
| 17 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $39.93 | $222.41 | $1.56 – $14,713 |
| 18 | Aetna commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $42.48 | $236.61 | $1.66 – $15,653 |
| 19 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $282.63 | $258.40 | $0.04 – $282.63 |
| 20 | Aetna commercial ppo/pos/hmo percent of total billed charges · outpatientfrom % of charges | $48.55 | $270.41 | $1.90 – $17,889 |
| 21 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $48.55 | $270.41 | $1.90 – $17,889 |
| 22 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $48.55 | $270.41 | $1.90 – $17,889 |
| 23 | Bcbs Ks commercial ppo/hmo percent of total billed charges · outpatientfrom % of charges | $65.20 | $293.26 | $2.01 – $15,953 |
| 24 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $54.62 | $304.21 | $2.13 – $20,125 |
| 25 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $54.62 | $304.21 | $2.13 – $20,125 |
Last updated: Feb 5, 2026
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