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 Highmark 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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158 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $5.60 | $2.11 – $8.95 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 11 | $5.60 | $2.11 – $8.95 |
| 3 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.39 | $7.64 – $55.60 |
| 4 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.92 | $7.88 – $57.40 |
| 5 | Appalachian Regional Healthcare, Inc. Hinton, WV percent of total billed charges · outpatientfrom % of charges | 1 | $28.12 | $6.03 – $42.98 |
| 6 | Armstrong County Memorial Hospital Kittanning, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $242.99 | $10.36 – $421.20 |
| 7 | Barnesville Hospital Association, Inc. Barnesville, OH facility · per diem · inpatient | 2 | $2,684 | $2,684 – $2,684 |
| 8 | Boone Memorial Hospital Madison, WV other · both | 1 | $11.85 | $0.84 – $184.52 |
| 9 | Boone Memorial Hospital Madison, WV other · outpatient | 1 | $2.24 | $2.24 – $2.24 |
| 10 | Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $26.99 | $8.85 – $82.36 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $8.93 | $0.02 – $31.80 |
| 12 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $5.60 | $2.11 – $8.95 |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 11 | $5.60 | $2.11 – $8.95 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 15 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 16 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 17 | Chambersburg Hospital Chambersburg, PA percent of total billed charges · outpatientfrom % of charges | 4 | $12.33 | $3.07 – $22.58 |
| 18 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $33.02 | $1.63 – $103.04 |
| 19 | Clarion Hospital Clarion, PA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16.24 | $0.04 – $57.81 |
| 20 | Community Health Association Ripley, WV facility · per diem · inpatient | 3 | $2,250 | $2,236 – $2,257 |
| 21 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $75.00 | $75.00 – $75.00 |
| 22 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54.98 | $6.29 – $137.56 |
| 23 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · both | 4 | $1.76 | $0.67 – $3.33 |
| 24 | Elizabethtown Community Hospital Elizabethtown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7.17 | $7.17 – $7.17 |
| 25 | Ephrata Community Hospital Ephrata, PA fee schedule · outpatient | 1 | $1.13 | $0.11 – $2.41 |
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