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
DEXTROSE 5 % IV BOLUS
Troy, NY
See all hospitals reporting RC 250 →Price type
Samaritan Hospital’s median price of $1 is 92% below the median hospital's median price ($18), higher than 4% 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: 14 payers, 28 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 | WellCare wellcare ep 1&2 medicaid facility · percent of total billed charges · bothfrom % of charges | $0.75 | $9.46 | $0.75 – $905.18 |
| 2 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $0.54 | $31.61 | $0.40 – $7,227 |
| 3 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $0.54 | $31.61 | $0.40 – $7,227 |
| 4 | WellCare wellcare ep 1&2 medicaid facility · other · both | $24.18 | $38.50 | $0.53 – $262.34 |
| 5 | Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 6 | Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 7 | Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 8 | Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 9 | Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 10 | Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 11 | Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 12 | Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 13 | Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 14 | Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 15 | Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 16 | Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges | $1.21 | $44.11 | $0.11 – $9,937 |
| 17 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1.65 | $62.15 | $0.11 – $18,067 |
| 18 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $1.76 | $64.16 | $0.16 – $14,454 |
| 19 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $1.87 | $68.17 | $0.17 – $15,357 |
| 20 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $1.98 | $72.18 | $0.18 – $16,261 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1.98 | $72.18 | $0.18 – $16,261 |
| 22 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1.98 | $72.18 | $0.18 – $16,261 |
| 23 | Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges | $2.20 | $80.21 | $0.20 – $18,067 |
| 24 | Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges | $2.20 | $80.21 | $0.20 – $18,067 |
| 25 | Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges | $2.20 | $80.21 | $0.20 – $18,067 |
Last updated: Mar 31, 2026
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