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
SODIUM CHLORIDE 0.9 % IV SOLN
Fond Du Lac, WI
See all hospitals reporting RC 258 →Price type
Aurora Medical Center Fond du Lac’s median price of $79 is 110% above the median hospital's median price ($38), higher than 78% 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: 6 payers, 28 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 | Healthpartners employee trust fund fee schedule · outpatient | $1.10 | $1.55 | $0.12 – $4.20 |
| 2 | Healthpartners robin fee schedule · outpatient | $1.15 | $1.62 | $0.13 – $4.39 |
| 3 | Aetna hmo fee schedule · outpatient | $1.29 | $2.06 | $0.11 – $7.66 |
| 4 | Anthem blue priority fee schedule · outpatient | $1.24 | $2.07 | $0.21 – $7.98 |
| 5 | Anthem blue preferred fee schedule · outpatient | $1.49 | $2.48 | $0.25 – $9.58 |
| 6 | Cigna ppo-gppo fee schedule · outpatient | $1.88 | $3.13 | $0.15 – $12.21 |
| 7 | Molina commercial fee schedule · outpatient | $2.29 | $3.24 | $0.25 – $8.78 |
| 8 | UnitedHealthcare charter percent of total billed charges · outpatientfrom % of charges | $78.50 | $129.10 | $8.67 – $897.40 |
| 9 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $78.50 | $129.10 | $8.67 – $897.40 |
| 10 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $78.50 | $129.10 | $8.67 – $897.40 |
| 11 | UnitedHealthcare nexus percent of total billed charges · outpatientfrom % of charges | $78.50 | $129.10 | $8.67 – $897.40 |
| 12 | Healthpartners broad percent of total billed charges · inpatientfrom % of charges | $99.12 | $163.01 | $10.95 – $1,133 |
| 13 | Healthpartners broad percent of total billed charges · outpatientfrom % of charges | $99.12 | $163.01 | $10.95 – $1,133 |
| 14 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $72.70 | $167.62 | $72.17 – $830.92 |
| 15 | Healthpartners employee trust fund percent of total billed charges · outpatientfrom % of charges | $79.45 | $174.99 | $78.73 – $906.46 |
| 16 | Molina commercial percent of total billed charges · outpatientfrom % of charges | $79.45 | $174.99 | $78.73 – $906.46 |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $109.16 | $179.53 | $12.06 – $1,248 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $109.16 | $179.53 | $12.06 – $1,248 |
| 19 | Anthem blue priority percent of total billed charges · outpatientfrom % of charges | $79.31 | $182.86 | $78.73 – $906.46 |
| 20 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $111.28 | $183.01 | $12.29 – $1,272 |
| 21 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $111.28 | $183.01 | $12.29 – $1,272 |
| 22 | Cigna ppo percent of total billed charges · inpatientfrom % of charges | $111.80 | $183.87 | $12.35 – $1,278 |
| 23 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $111.80 | $183.87 | $12.35 – $1,278 |
| 24 | Anthem ppo percent of total billed charges · inpatientfrom % of charges | $112.33 | $184.74 | $12.41 – $1,284 |
| 25 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $112.33 | $184.74 | $12.41 – $1,284 |
Last updated: Nov 21, 2025
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