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
SODIUM CHLORIDE 0.45 % IV BOLUS
Amarillo, TX
See all hospitals reporting RC 258 →Price type
BSA Hospital’s median price of $49 is 30% above the median hospital's median price ($38), higher than 59% 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, 24 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 bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $8.80 | $8.80 | $5.43 – $12.17 |
| 2 | Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges | $8.80 | $8.80 | $5.43 – $12.17 |
| 3 | UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges | $40.23 | $40.23 | $24.82 – $55.64 |
| 4 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 6 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 7 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 8 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 9 | UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 10 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $40.95 | $49.14 | $8.58 – $132.60 |
| 11 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $57.62 | $57.62 | $35.55 – $79.69 |
| 12 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $57.62 | $57.62 | $35.55 – $79.69 |
| 13 | Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges | $49.35 | $59.22 | $10.34 – $159.80 |
| 14 | Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges | $68.25 | $81.90 | $14.30 – $221.00 |
| 15 | Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges | $73.50 | $88.20 | $15.40 – $238.00 |
| 16 | Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges | $73.50 | $88.20 | $15.40 – $238.00 |
| 17 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $73.50 | $88.20 | $15.40 – $238.00 |
| 18 | Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges | $76.23 | $91.48 | $15.97 – $246.84 |
| 19 | Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges | $76.23 | $91.48 | $15.97 – $246.84 |
| 20 | UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges | $76.34 | $91.60 | $15.99 – $247.18 |
| 21 | Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges | $78.75 | $94.50 | $16.50 – $255.00 |
| 22 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $78.75 | $94.50 | $16.50 – $255.00 |
| 23 | Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges | $89.25 | $107.10 | $18.70 – $289.00 |
| 24 | MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges | $89.25 | $107.10 | $18.70 – $289.00 |
Last updated: Feb 12, 2026
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