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 % in water (D5W) intravenous solution
Waxahachie, TX
See all hospitals reporting RC 258 →Price type
Baylor Scott & White Heart and Vascular Hospital - Waxahachie’s median price of $27 is 29% below the median hospital's median price ($38), higher than 39% 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, 15 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 blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.70 | $22.48 | $2.62 – $130.20 |
| 2 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $20.71 | $31.66 | $3.70 – $183.40 |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.10 | $35.32 | $4.12 – $204.60 |
| 4 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $24.36 | $37.25 | $4.35 – $215.76 |
| 5 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $26.12 | $39.94 | $4.66 – $231.35 |
| 6 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $26.12 | $39.94 | $4.66 – $231.35 |
| 7 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $28.14 | $43.02 | $5.03 – $249.24 |
| 8 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $29.02 | $44.37 | $5.18 – $257.05 |
| 9 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 10 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 11 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 12 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $31.08 | $47.52 | $5.55 – $275.28 |
| 13 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $31.08 | $47.52 | $5.55 – $275.28 |
| 14 | Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $31.50 | $48.16 | $5.62 – $279.00 |
| 15 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $48.16 | $5.62 – $279.00 |
Last updated: Jun 29, 2026
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