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% W/ SODIUM CHLORIDE 0.2%
BRISTOL, TN
See all hospitals reporting RC 258 →Price type
Bristol Regional Medical Center’s median price of $21 is 45% below the median hospital's median price ($38), higher than 30% 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: 7 payers, 13 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 blue cross ballad health employee fee schedule · both | $10.15 | $9.72 | $7.69 – $10.76 |
| 2 | UnitedHealthcare uhc heritage select other · both | $14.85 | $19.09 | $7.37 – $57.92 |
| 3 | UnitedHealthcare uhc heritage river valley other · both | $15.63 | $20.09 | $7.75 – $60.94 |
| 4 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $15.63 | $20.09 | $7.75 – $60.94 |
| 5 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $20.17 | $25.93 | $10.01 – $78.67 |
| 6 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $20.17 | $25.93 | $10.01 – $78.67 |
| 7 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $20.17 | $25.93 | $10.01 – $78.67 |
| 8 | Aetna aetna percent of total billed charges · bothfrom % of charges | $20.66 | $26.56 | $10.25 – $80.56 |
| 9 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $22.45 | $28.86 | $11.14 – $87.54 |
| 10 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $23.02 | $29.60 | $11.42 – $89.78 |
| 11 | Blue Cross Blue Shield blue cross ballad health employee percent of total billed charges · bothfrom % of charges | $33.87 | $46.39 | $16.80 – $132.06 |
| 12 | First Health first health coventry percent of total billed charges · bothfrom % of charges | $37.25 | $47.89 | $18.48 – $145.27 |
| 13 | WellCare wellcare medicaid percent of total billed charges · bothfrom % of charges | $48.38 | $62.20 | $24.00 – $188.66 |
Last updated: Mar 23, 2026
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