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
Brenham, TX
See all hospitals reporting RC 258 →Price type
Baylor Scott & White Medical Center - Brenham’s median price of $20 is 48% below the median hospital's median price ($38), higher than 29% 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: 8 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 | Baylor Scott White Health Plan medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.56 | $7.65 | $0.93 – $45.94 |
| 2 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.14 | $8.45 | $1.02 – $50.78 |
| 3 | Superior Healthplan medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $6.14 | $8.45 | $1.02 – $50.78 |
| 4 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6.55 | $9.01 | $1.09 – $54.16 |
| 5 | Baylor Scott White Health Plan bsw premier - small group facility · percent of total billed charges · outpatientfrom % of charges | $7.02 | $9.66 | $1.17 – $58.03 |
| 6 | Baylor Scott White Health Plan bsw premier - individual facility · percent of total billed charges · outpatientfrom % of charges | $7.34 | $10.10 | $1.22 – $60.71 |
| 7 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $8.47 | $11.66 | $1.41 – $70.05 |
| 8 | Baylor Scott White Health Plan bsw plus - small group facility · percent of total billed charges · outpatientfrom % of charges | $10.53 | $14.49 | $1.75 – $87.05 |
| 9 | 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 | $16.37 | $22.52 | $2.73 – $135.33 |
| 10 | 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 | $19.26 | $26.50 | $3.21 – $159.22 |
| 11 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $20.70 | $28.48 | $3.45 – $171.12 |
| 12 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $20.70 | $28.48 | $3.45 – $171.12 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.18 | $30.52 | $3.70 – $183.40 |
| 14 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $22.59 | $31.08 | $3.77 – $186.74 |
| 15 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $23.85 | $32.81 | $3.98 – $197.16 |
| 16 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $24.75 | $34.05 | $4.12 – $204.60 |
| 17 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $25.20 | $34.67 | $4.20 – $208.32 |
| 18 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $26.55 | $36.52 | $4.42 – $219.48 |
| 19 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $43.33 | $5.25 – $260.40 |
| 20 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $33.75 | $46.43 | $5.62 – $279.00 |
| 22 | Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $31.50 | $48.16 | $5.62 – $279.00 |
| 23 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $36.00 | $49.53 | $6.00 – $297.60 |
| 24 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $33.60 | $51.37 | $6.00 – $297.60 |
Last updated: Jun 12, 2026
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