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
Plano, TX
See all hospitals reporting RC 258 →Price type
Baylor Scott & White Medical Center - Plano’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: 10 payers, 22 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 | $5.40 | $7.43 | $0.90 – $44.64 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $5.78 | $7.95 | $0.96 – $47.76 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $15.75 | $21.67 | $2.62 – $130.20 |
| 4 | 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 | $22.18 | $30.52 | $3.70 – $183.40 |
| 5 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $22.18 | $30.52 | $3.70 – $183.40 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $24.75 | $34.05 | $4.12 – $204.60 |
| 7 | 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 | $26.10 | $35.91 | $4.35 – $215.76 |
| 8 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $26.10 | $35.91 | $4.35 – $215.76 |
| 9 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $27.00 | $37.14 | $4.50 – $223.20 |
| 10 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $27.99 | $38.50 | $4.66 – $231.35 |
| 11 | UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges | $27.99 | $38.50 | $4.66 – $231.35 |
| 12 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $29.25 | $40.24 | $4.88 – $241.80 |
| 13 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $30.15 | $41.48 | $5.03 – $249.24 |
| 14 | UnitedHealthcare commercial broad facility · percent of total billed charges · outpatientfrom % of charges | $31.09 | $42.78 | $5.18 – $257.05 |
| 15 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $43.33 | $5.25 – $260.40 |
| 16 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $43.33 | $5.25 – $260.40 |
| 17 | Optum commercial facility · percent of total billed charges · outpatientfrom % of charges | $31.50 | $43.33 | $5.25 – $260.40 |
| 18 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $29.40 | $44.95 | $5.25 – $260.40 |
| 19 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $33.30 | $45.81 | $5.55 – $275.28 |
| 20 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $33.30 | $45.81 | $5.55 – $275.28 |
| 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 |
Last updated: Jun 29, 2026
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