RC 253
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.
Generation details were not recorded for this description.
Original text from hospital filings
amox-clav 250-62.5 mg/5 mL 100 mL #1 PP
Helena, CA
See all hospitals reporting RC 253 →Price type
St Helena Hospital’s median price of $7 is 82% below the median hospital's median price ($40), higher than 14% of the 216 hospitals reporting RC 253. 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, 15 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 uhc select/select plus percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 5 | UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 6 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $6 | $6 | — | — | — | $6 – $6 |
| 9 | UnitedHealthcare umr uhc ppo percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 10 | UnitedHealthcare uhc options ppo percent of total billed charges · outpatientfrom % of charges | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 13 | Blue Cross Blue Shield blue cross non mcs case rate · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
Last updated: Jul 15, 2026
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