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 Devoted 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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78 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $184.30 | $1.04 – $997.39 |
| 2 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90.77 | $14.78 – $1,659 |
| 3 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88.18 | $14.36 – $1,612 |
| 4 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88.18 | $14.36 – $1,612 |
| 5 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $111.52 | $18.16 – $2,039 |
| 6 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $190.28 | $3.99 – $2,135 |
| 7 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $19.11 | $0.05 – $68.02 |
| 8 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.11 | $0.05 – $68.02 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $25.95 | $0.98 – $270.00 |
| 10 | Clarion Hospital Clarion, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $19.11 | $0.05 – $68.02 |
| 11 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19.11 | $0.05 – $68.02 |
| 12 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $1.68 | $0.73 – $3.22 |
| 13 | Dickenson Community Hospital CLINTWOOD, VA percent of total billed charges · bothfrom % of charges | 1 | $14.81 | $5.04 – $32.88 |
| 14 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $84.83 | $15.53 – $379.20 |
| 15 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · both | 2 | $3.80 | $3.80 – $3.80 |
| 16 | East Cooper Medical Center LLC Mt Pleasant, SC percent of total billed charges · bothfrom % of charges | 2 | $108.91 | $1.00 – $445.75 |
| 17 | Hancock County Hospital SNEEDVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $34.46 | $11.93 – $74.28 |
| 18 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · both | 2 | $3.80 | $3.80 – $3.80 |
| 19 | Hilton Head Medical Center LLC Hilton Head Island, SC percent of total billed charges · bothfrom % of charges | 2 | $99.39 | $5.75 – $648.50 |
| 20 | Honokaa Hospital and Skilled Nursing Facility Honokaa, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18.30 | $0.84 – $105.84 |
| 21 | Johnson County Community Hospital MOUNTAIN CITY, TN percent of total billed charges · bothfrom % of charges | 1 | $16.32 | $4.87 – $57.45 |
| 22 | Kau Hospital Pahala, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.41 | $0.34 – $42.84 |
| 23 | Kauai Veterans Memorial Hospital Waimea, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.91 | $5.50 – $21.45 |
| 24 | Kohala Hospital Kapaau, HI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.28 | $16.39 – $91.59 |
| 25 | Lancaster General Health Lancaster, PA facility · other · outpatient | 1 | $4.00 | $4.00 – $4.00 |
← Payers reporting RC 258 · Snapshot 20261108T203506Z-bb90dbab