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
Pflugerville, TX
See all hospitals reporting RC 258 →Price type
Baylor Scott & White Medical Center - Pflugerville’s median price of $25 is 33% below the median hospital's median price ($38), higher than 36% 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, 17 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.95 | $6.81 | $0.83 – $40.92 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $5.30 | $7.29 | $0.88 – $43.78 |
| 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 | $16.37 | $22.52 | $2.73 – $135.33 |
| 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 | $19.26 | $26.50 | $3.21 – $159.22 |
| 5 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $20.70 | $28.48 | $3.45 – $171.12 |
| 6 | 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 |
| 7 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $20.88 | $28.72 | $3.48 – $172.61 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $22.18 | $30.52 | $3.70 – $183.40 |
| 9 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $23.85 | $32.81 | $3.98 – $197.16 |
| 10 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $24.39 | $33.55 | $4.07 – $201.62 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $24.75 | $34.05 | $4.12 – $204.60 |
| 12 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $25.20 | $34.67 | $4.20 – $208.32 |
| 13 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $29.25 | $40.24 | $4.88 – $241.80 |
| 14 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $43.33 | $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 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $33.75 | $46.43 | $5.62 – $279.00 |
| 17 | Humana commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $31.50 | $48.16 | $5.62 – $279.00 |
Last updated: Jun 13, 2026
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