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 % IV BOLUS
Cannon, NC
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Charles A. Cannon Jr. Memorial Hospital, Inc’s median price of $36 is 5% below the median hospital's median price ($38), higher than 48% 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, 18 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $30.94 | $32.54 | $13.36 – $66.91 |
| 2 | Optum vaccn facility · percent of total billed charges · outpatientfrom % of charges | $31.01 | $32.62 | $13.39 – $67.06 |
| 3 | Optum vaccn behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $31.01 | $32.62 | $13.39 – $67.06 |
| 4 | Humana medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $31.32 | $32.94 | $13.52 – $67.73 |
| 5 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $31.33 | $32.95 | $13.53 – $67.75 |
| 6 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $31.33 | $32.95 | $13.53 – $67.75 |
| 7 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $31.64 | $33.28 | $13.66 – $68.42 |
| 8 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $32.87 | $34.57 | $14.19 – $71.08 |
| 9 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $38.71 | $40.71 | $16.71 – $83.71 |
| 10 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $50.26 | $52.87 | $21.70 – $108.69 |
| 11 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $51.57 | $54.25 | $22.27 – $111.53 |
| 12 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $55.32 | $58.19 | $23.88 – $119.64 |
| 13 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $57.24 | $60.20 | $24.71 – $123.77 |
| 14 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $60.96 | $64.12 | $26.32 – $131.82 |
| 15 | Medcost standard facility · percent of total billed charges · outpatientfrom % of charges | $61.77 | $64.97 | $26.67 – $133.58 |
| 16 | Medcost standard facility · percent of total billed charges · inpatientfrom % of charges | $65.82 | $69.23 | $28.42 – $142.34 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $75.31 | $79.21 | $32.51 – $162.86 |
| 18 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $93.03 | $97.85 | $40.16 – $201.18 |
Last updated: Jun 4, 2026
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