RC 250

General pharmacy charges at Lake Charles Memorial Hospital

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CAFF/SOD BEN 250MG/ML 2ML

Charles, LA

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Pricing by billing methodology

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How this price compares nationally

Lake Charles Memorial Hospital’s median price of $0 is 100% below the median hospital's median price ($18), higher than 0% of the 1,901 hospitals reporting RC 250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 250 at Lake Charles Memorial Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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	Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$1.79	$0.01 – $231.80
2	UnitedHealthcare commercial other · outpatient	$2.32	$2.32	$2.32 – $2.32
3	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$2.51	$0.01 – $324.52
4	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$2.51	$0.01 – $324.52
5	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$2.69	$0.01 – $347.70
6	First Health commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$2.86	$0.01 – $370.88
7	Humana commercial percent of total billed charges · outpatientfrom % of charges	$0.01	$3.38	$0.01 – $278.16
8	Cigna medicare_access other · outpatient	$32.62	$32.62	$32.62 – $32.62
9	Aetna medicaid percent of total billed charges · outpatientfrom % of charges	$46.46	$38.35	$4.86 – $72.65
10	Amerihealth Caritas caritas_medicaid percent of total billed charges · outpatientfrom % of charges	$46.46	$38.35	$4.86 – $72.65
11	Magellan medicaid percent of total billed charges · outpatientfrom % of charges	$46.46	$38.35	$4.86 – $72.65
12	UnitedHealthcare medicaid percent of total billed charges · outpatientfrom % of charges	$46.46	$38.35	$4.86 – $72.65
13	Medicaid medicaid percent of total billed charges · outpatientfrom % of charges	$46.46	$38.76	$4.86 – $72.65
14	Aetna medicare percent of total billed charges · outpatientfrom % of charges	$54.18	$63.67	$53.37 – $83.45
15	UnitedHealthcare commercial fee schedule · outpatient	$66.98	$66.98	$66.98 – $66.98
16	Blue Cross Blue Shield medicare fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
17	Cigna medicare_access fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
18	Medicare railroad fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
19	Tricare medicare fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
20	UnitedHealthcare medicare fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
21	WellCare medicare fee schedule · outpatient	$76.56	$76.56	$76.56 – $76.56
22	Humana medicare fee schedule · outpatient	$78.09	$78.09	$78.09 – $78.09
23	Aetna medicare fee schedule · outpatient	$173.81	$173.81	$76.56 – $271.05
24	Humana commercial fee schedule · outpatient	$267.99	$267.99	$267.99 – $267.99

Last updated: Apr 1, 2026

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