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
NS 0.9% 100ML
Carmel, IN
See all hospitals reporting RC 258 →Price type
Carmel AmbSurg’s median price of $78 is 105% above the median hospital's median price ($38), higher than 76% 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: 11 payers, 72 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 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $26.59 | $36.31 | $1.25 – $148.50 |
| 2 | Anthem 9234_anthem healthsync hmo outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $31.91 | $43.57 | $1.50 – $178.20 |
| 3 | Anthem 9238_anthem pathway x outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $31.91 | $43.57 | $1.50 – $178.20 |
| 4 | Anthem 9350_anthem short term limited duration outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $31.91 | $43.57 | $1.50 – $178.20 |
| 5 | Anthem 9235_anthem healthsync pos outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $34.04 | $46.47 | $1.60 – $190.08 |
| 6 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both | $51.61 | $51.61 | $51.61 – $51.61 |
| 7 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both | $51.61 | $51.61 | $51.61 – $51.61 |
| 8 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both | $51.61 | $51.61 | $51.61 – $51.61 |
| 9 | Anthem 9236_anthem hmo pos outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $40.42 | $55.19 | $1.90 – $225.72 |
| 10 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $55.45 | $55.45 | $55.45 – $55.45 |
| 11 | Anthem 9237_anthem pathway outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $42.55 | $58.09 | $2.00 – $237.60 |
| 12 | Anthem 9239_anthem preferred outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $42.55 | $58.09 | $2.00 – $237.60 |
| 13 | UnitedHealthcare 9385_united healthcare fully funded outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $44.68 | $61.00 | $2.10 – $249.48 |
| 14 | Anthem 9399_anthem healthsync hmo vein 20250101 percent of total billed charges · outpatientfrom % of charges | $42.55 | $63.44 | $2.00 – $237.60 |
| 15 | Anthem 9240_anthem traditional outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges | $49.99 | $68.26 | $2.35 – $279.18 |
| 16 | UnitedHealthcare 6791_united healthcare self funded outpatient asin 20230101 percent of total billed charges · outpatientfrom % of charges | $53.19 | $72.61 | $2.50 – $297.00 |
| 17 | Anthem 9401_anthem healthsync pos vein 20250101 percent of total billed charges · outpatientfrom % of charges | $49.99 | $74.54 | $2.35 – $279.18 |
| 18 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 19 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 20 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $74.57 | $74.57 | $74.57 – $74.57 |
| 21 | UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 percent of total billed charges · outpatientfrom % of charges | $53.19 | $79.30 | $2.50 – $297.00 |
| 22 | Anthem 9405_anthem pathway x vein 20250101 percent of total billed charges · outpatientfrom % of charges | $54.25 | $80.88 | $2.55 – $302.94 |
| 23 | Anthem 9407_anthem short term limited duration vein 20250101 percent of total billed charges · outpatientfrom % of charges | $56.38 | $84.06 | $2.65 – $314.82 |
| 24 | Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges | $61.69 | $84.23 | $2.90 – $344.52 |
| 25 | Humana 8829_humana choice care network vein 20241001 percent of total billed charges · outpatientfrom % of charges | $64.89 | $88.59 | $3.05 – $362.34 |
Last updated: Jan 1, 2026
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