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 Magellan 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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51 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 1 | $113.05 | $15.30 – $1,140 |
| 2 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 1 | $7.54 | $0.15 – $90.64 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108.08 | $1.95 – $1,043 |
| 4 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · inpatient | 1 | $170.30 | $15.60 – $994.20 |
| 5 | COMMUNITY HOSPITAL OF SAN BERNARDINO San Bernardino, CA fee schedule · outpatient | 1 | $170.30 | $15.60 – $994.20 |
| 6 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $113.05 | $15.30 – $1,140 |
| 7 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $113.05 | $15.30 – $1,140 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $113.05 | $15.30 – $1,140 |
| 9 | Carolinas Medical Center Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $113.05 | $15.30 – $1,140 |
| 10 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $80.08 | $64.20 – $135.60 |
| 11 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · inpatient | 1 | $55.36 | $30.00 – $154.80 |
| 12 | DIGNITY COMMUNITY CARE Woodland, CA fee schedule · outpatient | 1 | $55.36 | $30.00 – $154.80 |
| 13 | Gadsden Regional Medical Center LLC Gadsden, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $230.35 | $57.00 – $446.40 |
| 14 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $116.64 | $6.00 – $435.31 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0.55 | $0.02 – $7.80 |
| 16 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $10.00 | $10.00 – $10.00 |
| 17 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10.00 | $10.00 – $10.00 |
| 18 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $45.00 | $45.00 – $45.00 |
| 19 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $45.00 | $45.00 – $45.00 |
| 20 | Lovelace Health System, LLC Albuquerque, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $45.00 | $45.00 – $45.00 |
| 21 | Lovelace Health System, LLC Roswell, NM facility · percent of total billed charges · bothfrom % of charges | 1 | $58.50 | $58.50 – $58.50 |
| 22 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $144.25 | $28.00 – $315.00 |
| 23 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $155.28 | $3.00 – $510.00 |
| 24 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $8.35 | $0.67 – $63.60 |
| 25 | Northwest Hospital LLC Tucson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6.77 | $3.21 – $29.86 |
← Payers reporting RC 258 · Snapshot 20261108T203506Z-bb90dbab