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 Carefirst 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.
Filter by billing methodology
Filter by billing class
52 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 3 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 5 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $14.19 | $0.01 – $120.00 |
| 6 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $191.45 | $2.77 – $548.81 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763.00 | $763.00 – $763.00 |
| 8 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $200.65 | $2.76 – $553.95 |
| 9 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $63.13 | $63.13 – $63.13 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $150.71 | $20.00 – $250.00 |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $70.00 | $70.00 – $70.00 |
| 12 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $160.13 | $28.00 – $315.00 |
| 13 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $227.21 | $227.21 – $227.21 |
| 14 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $52.64 | $14.63 – $141.46 |
| 15 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $132.12 | $42.74 – $247.86 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $75.10 | $1.45 – $246.64 |
| 17 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 18 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 19 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 20 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 21 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 22 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 23 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 24 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $103.50 | $12.00 – $135.00 |
| 25 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $70.00 | $70.00 – $70.00 |
← Payers reporting RC 258 · Snapshot 20261108T203506Z-bb90dbab