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 50% intravenous solution
Tustin, CA
See all hospitals reporting RC 258 →Price type
Alta Newport Hospital, LLC’s median price of $72 is 91% above the median hospital's median price ($38), higher than 72% 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, 14 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $5.61 | $5.61 | $5.61 – $5.61 |
| 2 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $5.61 | $5.61 | $5.61 – $5.61 |
| 3 | Bcbs Ca hmo facility · fee schedule · outpatient | $5.61 | $5.61 | $5.61 – $5.61 |
| 4 | Bcbs Ca covered california/ifp/ppo facility · percent of total billed charges · outpatientfrom % of charges | $25.46 | $33.71 | $18.54 – $70.80 |
| 5 | Bcbs Ca epo/ppo/out of state facility · percent of total billed charges · outpatientfrom % of charges | $25.46 | $33.71 | $18.54 – $70.80 |
| 6 | Bcbs Ca hmo facility · percent of total billed charges · outpatientfrom % of charges | $25.46 | $33.71 | $18.54 – $70.80 |
| 7 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $51.41 | $68.06 | $37.43 – $142.94 |
| 8 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $58.97 | $71.35 | $32.20 – $128.80 |
| 9 | Aetna exchange facility · percent of total billed charges · outpatientfrom % of charges | $61.24 | $74.10 | $33.44 – $133.77 |
| 10 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $84.19 | $111.47 | $61.30 – $234.10 |
| 11 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $125.99 | $152.43 | $68.80 – $275.18 |
| 12 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $125.99 | $152.43 | $68.80 – $275.18 |
| 13 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $150.48 | $182.07 | $82.17 – $328.69 |
| 14 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $150.48 | $182.07 | $82.17 – $328.69 |
Last updated: Mar 18, 2026
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