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
XYLOCAINE (Lidocaine) 2% PF SDV 5 mL
Kinder, LA
See all hospitals reporting RC 258 →Price type
Allen Parish Hospital District No 3’s median price of $12 is 68% below the median hospital's median price ($38), higher than 19% 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: 4 payers, 6 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 | Amerihealth Caritas medicaid managed care facility · fee schedule · both | $9.22 | $10.10 | $9.08 – $12.10 |
| 2 | UnitedHealthcare medicaid managed care facility · fee schedule · both | $9.22 | $10.15 | $9.22 – $12.10 |
| 3 | Aetna Better Health medicaid managed care facility · fee schedule · both | $9.08 | $11.44 | $9.08 – $17.87 |
| 4 | Amerihealth Caritas medicaid managed care professional · fee schedule · both | $11.92 | $13.90 | $11.92 – $17.87 |
| 5 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $16.00 | $16.00 | $16.00 – $16.00 |
| 6 | UnitedHealthcare unitedhealthcare facility · percent of total billed charges · bothfrom % of charges | $30.70 | $30.70 | $29.40 – $32.00 |
Last updated: Feb 12, 2026
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