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
Amery, WI
See all hospitals reporting RC 258 →Price type
Amery Hospital’s median price of $93 is 145% above the median hospital's median price ($38), higher than 83% 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, 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 | Blue Cross Blue Shield bcbs pmap [95296] facility · fee schedule · both | $3.67 | $3.13 | $0.99 – $3.67 |
| 2 | Healthpartners hp self insured [91021] facility · fee schedule · both | $6.20 | $8.74 | $3.72 – $25.54 |
| 3 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $37.62 | $94.69 | $21.20 – $588.24 |
| 4 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $94.66 | $202.77 | $53.58 – $1,759 |
| 5 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $95.40 | $204.36 | $54.00 – $1,773 |
| 6 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $102.78 | $220.16 | $58.18 – $1,910 |
Last updated: Mar 31, 2026
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