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
Frisco, TX
See all hospitals reporting RC 258 →Price type
Baylor Scott & White Medical Center - Frisco at PGA Parkway’s median price of $26 is 30% below the median hospital's median price ($38), higher than 38% 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, 20 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $11.76 | $17.98 | $2.10 – $104.16 |
| 2 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $14.70 | $22.48 | $2.62 – $130.20 |
| 3 | 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 |
| 4 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $20.71 | $31.66 | $3.70 – $183.40 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $23.10 | $35.32 | $4.12 – $204.60 |
| 6 | 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 |
| 7 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $24.36 | $37.25 | $4.35 – $215.76 |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $25.20 | $38.53 | $4.50 – $223.20 |
| 9 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $26.12 | $39.94 | $4.66 – $231.35 |
| 10 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $26.12 | $39.94 | $4.66 – $231.35 |
| 11 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $27.30 | $41.74 | $4.88 – $241.80 |
| 12 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $28.14 | $43.02 | $5.03 – $249.24 |
| 13 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $29.02 | $44.37 | $5.18 – $257.05 |
| 14 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 15 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 16 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 17 | 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 |
| 18 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $31.08 | $47.52 | $5.55 – $275.28 |
| 19 | Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $31.50 | $48.16 | $5.62 – $279.00 |
| 20 | 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
See Pharmacy charge pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.