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
WATER FOR INJECTION, STERILE INJECTION SOLUTION *VIAL*
Jacksonville, TX
See all hospitals reporting RC 250 →Price type
Jacksonville Hospital, LLC’s median price of $52 is 184% above the median hospital's median price ($18), higher than 79% 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: 7 payers, 18 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $30.94 | $127.87 | $0.34 – $4,107 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $30.94 | $127.87 | $0.34 – $4,107 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $30.94 | $127.87 | $0.34 – $4,107 |
| 4 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $182.38 | $182.38 | $28.16 – $336.60 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $182.38 | $182.38 | $28.16 – $336.60 |
| 6 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $182.38 | $182.38 | $28.16 – $336.60 |
| 7 | Blue Cross Blue Shield blue cross hmo of texas [115504] facility · percent of total billed charges · bothfrom % of charges | $203.51 | $203.51 | $31.43 – $375.59 |
| 8 | Blue Cross Blue Shield blue cross advantage hmo of texas [115525] facility · percent of total billed charges · bothfrom % of charges | $238.01 | $238.01 | $36.75 – $439.27 |
| 9 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $61.27 | $253.19 | $0.67 – $8,132 |
| 10 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $61.27 | $253.19 | $0.67 – $8,132 |
| 11 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $269.00 | $269.00 | $41.54 – $496.45 |
| 12 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $269.00 | $269.00 | $41.54 – $496.45 |
| 13 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $77.80 | $324.58 | $0.01 – $10,514 |
| 14 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $77.80 | $324.58 | $0.01 – $10,514 |
| 15 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $79.21 | $327.98 | $0.01 – $10,514 |
| 16 | Blue Cross Blue Shield blue cross preferred ppo of texas [115526] facility · percent of total billed charges · bothfrom % of charges | $359.84 | $359.84 | $55.57 – $664.11 |
| 17 | Blue Cross Blue Shield blue cross traditional of texas [115503] facility · percent of total billed charges · bothfrom % of charges | $359.84 | $359.84 | $55.57 – $664.11 |
| 18 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $392.94 | $392.94 | $60.68 – $725.19 |
Last updated: Feb 12, 2026
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