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
Inj, Sculptra, 0.5mg
Rochester, NY
See all hospitals reporting RC 250 →Price type
Highland Hospital’s median price of $6 is 67% below the median hospital's median price ($18), higher than 22% 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: 6 payers, 12 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 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $1.10 | $1.10 | $1.10 – $1.10 |
| 3 | Humana humana medicare [131201] fee schedule · outpatient | $1.28 | $1.28 | $1.28 – $1.28 |
| 4 | Aetna aetna medicare [130001] fee schedule · outpatient | $3.61 | $3.70 | $1.30 – $5.90 |
| 5 | Excellus blue choice option medicaid [170601] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 6 | Excellus excellus child health plus [220108] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 7 | Excellus excellus essential (no medicaid) [220109] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 8 | Excellus excellus essential (w/ medicaid) [170604] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 9 | Molina molina child health plus [518901], molina healthcare [172301] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 10 | Molina molina essential (no medicaid) [518902], molina essential pa 3 and 4 [172302] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 11 | UnitedHealthcare united healthcare essential (no medicaid [515812] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
| 12 | UnitedHealthcare united healthcare medicaid [171601] fee schedule · outpatient | $7.88 | $20.88 | $2.00 – $158.00 |
Last updated: Jul 1, 2026
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