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
IN-111 DTPA PER .5 MCI
Kernersville, NC
See all hospitals reporting RC 250 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $714 is 3779% above the median hospital's median price ($18), higher than 97% 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: 11 payers, 29 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 | UnitedHealthcare all payer other · outpatient | $10.00 | $10.00 | $10.00 – $10.00 |
| 2 | UnitedHealthcare all payer fee schedule · outpatient | $165.88 | $329.38 | $0.67 – $872.65 |
| 3 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $707.82 | $707.82 | $707.82 – $707.82 |
| 4 | Humana medicare fee schedule · outpatient | $707.82 | $707.82 | $707.82 – $707.82 |
| 5 | UnitedHealthcare medicare fee schedule · outpatient | $707.82 | $707.82 | $707.82 – $707.82 |
| 6 | Cigna healthspring fee schedule · outpatient | $729.05 | $729.05 | $729.05 – $729.05 |
| 7 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $198.87 | $1,129 | $0.18 – $3,230 |
| 8 | UnitedHealthcare medicaid fee schedule · outpatient | $198.87 | $1,129 | $0.18 – $3,230 |
| 9 | WellCare medicaid fee schedule · outpatient | $198.87 | $1,129 | $0.18 – $3,230 |
| 10 | Cigna aca fee schedule · outpatient | $406.35 | $2,308 | $0.38 – $6,599 |
| 11 | Caresource qualified health plan fee schedule · outpatient | $420.00 | $2,385 | $0.40 – $6,821 |
| 12 | Aetna medicare fee schedule · outpatient | $525.00 | $2,489 | $0.50 – $8,526 |
| 13 | Cigna commercial fee schedule · outpatient | $714.04 | $3,061 | $0.59 – $10,129 |
| 14 | Blue Cross Blue Shield blue home fee schedule · outpatient | $548.10 | $3,113 | $0.52 – $8,901 |
| 15 | Blue Cross Blue Shield blue value fee schedule · outpatient | $567.00 | $3,220 | $0.54 – $9,208 |
| 16 | Aetna commercial fee schedule · outpatient | $646.80 | $3,673 | $0.61 – $10,504 |
| 17 | Blue Cross Blue Shield hmo fee schedule · outpatient | $721.35 | $4,096 | $0.68 – $11,715 |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $721.35 | $4,096 | $0.68 – $11,715 |
| 19 | Humana commercial fee schedule · outpatient | $817.95 | $4,645 | $0.77 – $13,284 |
| 20 | Aetna aca fee schedule · outpatient | $840.00 | $4,770 | $0.80 – $13,642 |
| 21 | Aetna first health fee schedule · outpatient | $840.00 | $4,770 | $0.80 – $13,642 |
| 22 | Aetna non-par products of apcn fee schedule · outpatient | $840.00 | $4,770 | $0.80 – $13,642 |
| 23 | Aetna rental network products fee schedule · outpatient | $840.00 | $4,770 | $0.80 – $13,642 |
| 24 | Aetna whole health non-multitier fee schedule · outpatient | $840.00 | $4,770 | $0.80 – $13,642 |
| 25 | Medcost mbs fee schedule · outpatient | $892.50 | $5,068 | $0.85 – $14,494 |
Last updated: Mar 29, 2026
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