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
NS 0.9% 50ML PAB INJ
Carmel, IN
See all hospitals reporting RC 258 →Price type
Ascension St. Vincent Heart Center’s median price of $77 is 104% above the median hospital's median price ($38), higher than 76% 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: 11 payers, 74 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 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $24.37 | $42.33 | $2.00 – $208.22 |
| 2 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $55.45 | $55.45 | $55.45 – $55.45 |
| 3 | Anthem 9263_anthem healthsync hmo vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $39.97 | $69.42 | $3.28 – $341.48 |
| 4 | Anthem 9267_anthem pathway x vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $39.97 | $69.42 | $3.28 – $341.48 |
| 5 | Anthem 9363_anthem short term limited duration vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $39.97 | $69.42 | $3.28 – $341.48 |
| 6 | Anthem 9264_anthem healthsync pos vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $42.89 | $74.50 | $3.52 – $366.46 |
| 7 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 8 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 9 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 10 | UnitedHealthcare 9391_united healthcare vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $45.82 | $79.58 | $3.76 – $391.45 |
| 11 | Anthem 9399_anthem healthsync hmo vein 20250101 percent of total billed charges · outpatientfrom % of charges | $52.80 | $81.74 | $3.60 – $333.15 |
| 12 | First Health 1843_first health 20120101 percent of total billed charges · outpatientfrom % of charges | $57.77 | $85.42 | $5.60 – $405.30 |
| 13 | Anthem 9265_anthem hmo pos vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $52.64 | $91.43 | $4.32 – $449.75 |
| 14 | Anthem 9266_anthem pathway vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $52.64 | $91.43 | $4.32 – $449.75 |
| 15 | Anthem 9268_anthem preferred vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $52.64 | $91.43 | $4.32 – $449.75 |
| 16 | Anthem 9269_anthem traditional vhin 20250101 percent of total billed charges · outpatientfrom % of charges | $52.64 | $91.43 | $4.32 – $449.75 |
| 17 | Anthem 9401_anthem healthsync pos vein 20250101 percent of total billed charges · outpatientfrom % of charges | $62.04 | $96.04 | $4.23 – $391.45 |
| 18 | Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges | $56.54 | $98.21 | $4.64 – $483.06 |
| 19 | Humana 8829_humana choice care network vein 20241001 percent of total billed charges · outpatientfrom % of charges | $59.46 | $103.29 | $4.88 – $508.05 |
| 20 | Humana 8830_humana choice care vein 20241001 percent of total billed charges · outpatientfrom % of charges | $59.46 | $103.29 | $4.88 – $508.05 |
| 21 | Anthem 9405_anthem pathway x vein 20250101 percent of total billed charges · outpatientfrom % of charges | $67.32 | $104.22 | $4.59 – $424.76 |
| 22 | Anthem 9407_anthem short term limited duration vein 20250101 percent of total billed charges · outpatientfrom % of charges | $69.96 | $108.30 | $4.77 – $441.42 |
| 23 | Humana 8825_humana choice 1 network asin, ecin 20241001 percent of total billed charges · outpatientfrom % of charges | $62.39 | $108.37 | $5.12 – $533.04 |
| 24 | Cigna 8817_cigna ppo choice oap vein 20241001 percent of total billed charges · outpatientfrom % of charges | $63.36 | $110.06 | $5.20 – $541.37 |
| 25 | Humana 8828_humana choice 1 network vfin, nrin 20241001 percent of total billed charges · outpatientfrom % of charges | $63.36 | $110.06 | $5.20 – $541.37 |
Last updated: Jan 1, 2026
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