RC 258
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 SOLN
The hospitals that file a Amerihealth Caritas rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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68 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $7.31 | $7.31 – $7.31 |
| 2 | Alleghany County Memorial Hospital, Inc Sparta, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53.96 | $17.00 – $1,761 |
| 3 | Allen Parish Hospital District No 3 Kinder, LA facility · fee schedule · both | 1 | $10.10 | $9.08 – $12.10 |
| 4 | Allen Parish Hospital District No 3 Kinder, LA professional · fee schedule · both | 1 | $13.90 | $11.92 – $17.87 |
| 5 | Appalachian Regional Behavioral Health Hospital Linville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21.01 | $8.62 – $43.19 |
| 6 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $26.58 | $3.60 – $268.09 |
| 7 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 1 | $21.25 | $2.88 – $214.32 |
| 8 | Atrium Health Hospitals Inc Wadesboro, NC percent of total billed charges · outpatientfrom % of charges | 1 | $28.19 | $3.81 – $284.24 |
| 9 | Blue Ridge HealthCare Hospitals, Inc Valdese, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.45 | $3.24 – $41.39 |
| 10 | Caldwell Memorial Hospital Lenoir, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21.18 | $6.73 – $117.02 |
| 11 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41.09 | $5.56 – $414.39 |
| 12 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41.09 | $5.56 – $414.39 |
| 13 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41.09 | $5.56 – $414.39 |
| 14 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $41.09 | $5.56 – $414.39 |
| 15 | Charles A. Cannon Jr. Memorial Hospital, Inc Cannon, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32.95 | $13.53 – $67.75 |
| 16 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.75 | $9.29 – $34.78 |
| 17 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 1 | $5.54 | $1.12 – $38.48 |
| 18 | Evangelical Community Hospital Lewisburg, PA fee schedule · outpatient | 1 | $6.55 | $1.12 – $38.48 |
| 19 | Gettysburg Hospital Gettysburg, PA fee schedule · outpatient | 1 | $6.04 | $1.12 – $38.48 |
| 20 | Good Samaritan Hospital Lebanon, PA fee schedule · outpatient | 1 | $5.41 | $1.12 – $38.48 |
| 21 | HCA FLORIDA AVENTURA HOSPITAL AVENTURA, FL percent of total billed charges · inpatientfrom % of charges | 1 | $2,066 | $2,066 – $2,066 |
| 22 | HCA FLORIDA KENDALL HOSPITAL MIAMI, FL percent of total billed charges · inpatientfrom % of charges | 1 | $1,583 | $1,583 – $1,583 |
| 23 | HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both | 1 | $51.69 | $9.59 – $56.26 |
| 24 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32.56 | $2.00 – $628.80 |
| 25 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32.56 | $2.00 – $628.80 |
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