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
D10W INFUSION
Peabody, MA
See all hospitals reporting RC 258 →Price type
Boston Children's Hospital’s median price of $38 is about the same as the median hospital's median price ($38), higher than 49% 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, 14 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 all products sat outpatient fee schedule · both | $1.31 | $2.04 | $0.66 – $9.10 |
| 2 | UnitedHealthcare medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $30.84 | $43.16 | $14.97 – $419.39 |
| 3 | Aetna medicaid inpatient/outpatient percent of total billed charges · bothfrom % of charges | $30.94 | $43.30 | $15.02 – $420.72 |
| 4 | Optum medicaid/medicare inpatient/outpatient percent of total billed charges · bothfrom % of charges | $33.52 | $46.90 | $16.27 – $455.78 |
| 5 | Blue Cross Blue Shield indem outpatient percent of total billed charges · bothfrom % of charges | $34.04 | $47.64 | $16.52 – $462.93 |
| 6 | Optum comm chd onc outpatient percent of total billed charges · bothfrom % of charges | $42.80 | $59.89 | $20.77 – $582.00 |
| 7 | UnitedHealthcare comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $43.08 | $60.29 | $20.91 – $585.85 |
| 8 | Aetna comm inpatient/outpatient percent of total billed charges · bothfrom % of charges | $43.23 | $60.49 | $20.98 – $587.82 |
| 9 | Optum comm outpatient percent of total billed charges · bothfrom % of charges | $43.83 | $61.33 | $21.27 – $596.02 |
| 10 | Cigna all products outpatient percent of total billed charges · bothfrom % of charges | $45.88 | $63.22 | $21.27 – $632.76 |
| 11 | Humana all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $46.41 | $64.94 | $22.52 – $631.08 |
| 12 | First Health all products inpatient/outpatient percent of total billed charges · bothfrom % of charges | $47.44 | $66.38 | $23.02 – $645.10 |
| 13 | MultiPlan phcs clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $47.44 | $66.38 | $23.02 – $645.10 |
| 14 | MultiPlan multiplan clients inpatient/outpatient percent of total billed charges · bothfrom % of charges | $48.99 | $68.55 | $23.77 – $666.14 |
Last updated: Apr 1, 2026
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