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 Cigna Healthspring 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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26 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 2 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 3 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 4 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 5 | Carolinas Medical Center Charlotte, NC other · outpatient | 1 | $12.76 | $12.76 – $12.76 |
| 6 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $35.80 | $4.85 – $361.00 |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 8 | Carolinas Medical Center Charlotte, NC other · outpatient | 1 | $183.19 | $16.77 – $202.77 |
| 9 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $29.40 | $29.40 – $29.40 |
| 10 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $2.28 | $2.28 – $2.28 |
| 11 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $152.12 | $30.87 – $195.86 |
| 12 | Laredo Texas Hospital Company LP Laredo, TX facility · per diem · outpatient | 1 | $9.92 | $0.22 – $53.24 |
| 13 | Northwestern Medicine Valley West Hospital Sandwich, IL percent of total billed charges · outpatientfrom % of charges | 1 | $24.33 | $5.49 – $61.62 |
| 14 | Rush Hospital/Butler, Inc. Butler, AL fee schedule · outpatient | 1 | $2.28 | $2.28 – $2.28 |
| 15 | Rush Hospital/Butler, Inc. Butler, AL other · outpatient | 1 | $22.05 | $22.05 – $22.05 |
| 16 | Rush Medical Foundation Meridian, MS fee schedule · outpatient | 1 | $2.28 | $2.28 – $2.28 |
| 17 | Rush Medical Foundation Quitman, MS fee schedule · outpatient | 1 | $2.28 | $2.28 – $2.28 |
| 18 | Rush Medical Foundation Quitman, MS other · outpatient | 1 | $28.42 | $28.42 – $28.42 |
| 19 | Scott Regional Medical Center, Inc. Morton, MS fee schedule · outpatient | 1 | $2.28 | $2.28 – $2.28 |
| 20 | Scott Regional Medical Center, Inc. Morton, MS other · outpatient | 1 | $24.50 | $24.50 – $24.50 |
| 21 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 22 | The Charlotte Mecklenburg Hospital Authority Charlotte, NC other · outpatient | 1 | $8.94 | $8.94 – $8.94 |
| 23 | The Charlotte Mecklenburg Hospital Authority Kannapolis, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 24 | The Charlotte Mecklenburg Hospital Authority Waxhaw, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
| 25 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC fee schedule · outpatient | 1 | $17.10 | $17.10 – $17.10 |
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