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 Medicare 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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50 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5,467 | $5,467 – $5,467 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $17.70 | $0.16 – $70.95 |
| 3 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $36.50 | $14.18 – $121.23 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $25.95 | $0.98 – $270.00 |
| 5 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $55.22 | $2.08 – $576.00 |
| 6 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 1 | $1.76 | $0.69 – $2.56 |
| 7 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $187.39 | $6.93 – $1,516 |
| 8 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN percent of total billed charges · bothfrom % of charges | 1 | $72.08 | $21.64 – $939.93 |
| 9 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $20.70 | $7.73 – $33.67 |
| 10 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $20.99 | $7.84 – $34.14 |
| 11 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $21.72 | $8.11 – $35.32 |
| 12 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $21.34 | $7.97 – $34.71 |
| 13 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 2 | $22.35 | $7.84 – $38.57 |
| 14 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 2 | $22.36 | $7.84 – $38.58 |
| 15 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $10.34 | $4.26 – $16.27 |
| 16 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $14.58 | $4.11 – $47.84 |
| 17 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $8.55 | $6.44 – $10.30 |
| 18 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 2 | $187.39 | $6.93 – $1,516 |
| 19 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $21.58 | $3.03 – $76.86 |
| 20 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $22.80 | $2.81 – $26.86 |
| 21 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $37.19 | $3.13 – $105.83 |
| 22 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16.93 | $3.24 – $31.65 |
| 23 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36.10 | $3.02 – $153.56 |
| 24 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $35.05 | $4.21 – $40.28 |
| 25 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15.42 | $3.02 – $22.92 |
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