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
SODIUM CHLORIDE 0.9 % IV SOLN
Downers Grove, IL
See all hospitals reporting RC 258 →Price type
Advocate Good Samaritan Hospital’s median price of $78 is 108% above the median hospital's median price ($38), higher than 77% of the 1,497 hospitals reporting RC 258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna commercial fee schedule · outpatient | $2.69 | $4.46 | $0.22 – $16.28 |
| 2 | UnitedHealthcare commercial fee schedule · outpatient | $3.35 | $4.49 | $0.18 – $20.11 |
| 3 | UnitedHealthcare hmo fee schedule · outpatient | $4.56 | $6.82 | $0.37 – $20.11 |
| 4 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $65.03 | $125.94 | $4.30 – $1,546 |
| 5 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $57.28 | $137.26 | $20.65 – $1,708 |
| 6 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $93.62 | $176.94 | $5.80 – $2,258 |
| 7 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $77.52 | $180.10 | $30.77 – $1,891 |
| 8 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $93.17 | $180.44 | $6.16 – $2,215 |
| 9 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $94.98 | $183.94 | $6.28 – $2,258 |
| 10 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $96.42 | $186.74 | $6.38 – $2,292 |
| 11 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $96.42 | $186.74 | $6.38 – $2,292 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $99.92 | $193.51 | $6.61 – $2,375 |
| 13 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $82.05 | $210.63 | $40.83 – $1,977 |
Last updated: Nov 4, 2025
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