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 70% 500ML BAG
Waco, TX
See all hospitals reporting RC 258 →Price type
Ascension Providence’s median price of $12 is 69% 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: 9 payers, 24 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 974_bcbs star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 2 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 3 | Molina 891_molina chip inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 4 | Molina 908_molina chip outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 5 | Superior Healthplan 817_superior star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 6 | Superior Healthplan 856_superior star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 7 | Superior Healthplan 904_superior star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 8 | Superior Healthplan 907_superior star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 9 | UnitedHealthcare 852_uhc star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 10 | UnitedHealthcare 894_uhc star kids inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 11 | UnitedHealthcare 906_uhc star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 12 | UnitedHealthcare 909_uhc star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 13 | UnitedHealthcare 928_uhc star outpatient 20250701 percent of total billed charges · outpatientfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 14 | UnitedHealthcare 929_uhc star inpatient 20250701 percent of total billed charges · bothfrom % of charges | $5.11 | $9.77 | $0.29 – $40.03 |
| 15 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · outpatientfrom % of charges | $20.43 | $39.10 | $1.17 – $160.11 |
| 16 | Aetna 935_aetna 20250801 percent of total billed charges · outpatientfrom % of charges | $23.84 | $45.61 | $1.36 – $186.79 |
| 17 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · outpatientfrom % of charges | $24.97 | $47.78 | $1.43 – $195.69 |
| 18 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges | $26.68 | $51.04 | $1.53 – $209.03 |
| 19 | UnitedHealthcare 943_united healthcare 20250701 percent of total billed charges · outpatientfrom % of charges | $30.08 | $57.56 | $1.72 – $235.72 |
| 20 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges | $30.65 | $58.64 | $1.75 – $240.16 |
| 21 | Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges | $32.35 | $61.90 | $1.85 – $253.51 |
| 22 | Humana 644_humana hmo ppo 20230701 percent of total billed charges · outpatientfrom % of charges | $39.16 | $74.93 | $2.24 – $306.88 |
| 23 | First Health 102_firsthealth 20130101 percent of total billed charges · outpatientfrom % of charges | $41.43 | $79.28 | $2.37 – $324.67 |
| 24 | Phcs 376_phcs 20191001 percent of total billed charges · outpatientfrom % of charges | $42.57 | $81.45 | $2.44 – $333.56 |
Last updated: Jan 1, 2026
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