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 0.9 % INTRAVENOUS SOLUTION
Pompton Plains, NJ
See all hospitals reporting RC 258 →Price type
Chilton Medical Center’s median price of $10 is 73% below the median hospital's median price ($38), higher than 16% 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: 13 payers, 27 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 | Cigna cmc cigna local plus fee schedule · both | $3.09 | $3.09 | $3.09 – $3.09 |
| 2 | Aetna cmc aetna fee schedule · both | $3.21 | $3.21 | $3.21 – $3.21 |
| 3 | Aetna cmc aetna whole health fee schedule · both | $3.48 | $3.48 | $3.48 – $3.48 |
| 4 | Cigna cmc cigna oap fee schedule · both | $3.64 | $3.64 | $3.64 – $3.64 |
| 5 | Cigna cmc cigna ppo fee schedule · both | $4.00 | $4.00 | $4.00 – $4.00 |
| 6 | Anthem cmc medicaid percent of total billed charges · bothfrom % of charges | $1.68 | $5.04 | $0.83 – $52.32 |
| 7 | Medicaid cmc medicaid percent of total billed charges · bothfrom % of charges | $1.68 | $5.04 | $0.83 – $52.32 |
| 8 | Aetna Better Health cmc aetna better health percent of total billed charges · bothfrom % of charges | $2.02 | $6.05 | $1.00 – $62.76 |
| 9 | Anthem cmc horizon commercial fee schedule · both | $7.42 | $7.42 | $7.42 – $7.42 |
| 10 | Blue Cross Blue Shield cmc horizon commercial fee schedule · both | $7.42 | $7.42 | $7.42 – $7.42 |
| 11 | Blue Cross Blue Shield cmc horizon omnia fee schedule · both | $7.42 | $7.42 | $7.42 – $7.42 |
| 12 | UnitedHealthcare oxford non-tertiary percent of total billed charges · bothfrom % of charges | $7.63 | $7.47 | $3.23 – $11.30 |
| 13 | UnitedHealthcare united non-tertiary percent of total billed charges · bothfrom % of charges | $7.63 | $7.47 | $3.23 – $11.30 |
| 14 | Humana cmc qualcare percent of total billed charges · bothfrom % of charges | $8.06 | $24.18 | $3.98 – $250.87 |
| 15 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $8.06 | $24.18 | $3.98 – $250.87 |
| 16 | Oscar cmc qualcare percent of total billed charges · bothfrom % of charges | $8.06 | $24.18 | $3.98 – $250.87 |
| 17 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $8.06 | $24.18 | $3.98 – $250.87 |
| 18 | Cigna cmc cigna local plus percent of total billed charges · bothfrom % of charges | $8.20 | $27.69 | $6.15 – $258.16 |
| 19 | First Health first health percent of total billed charges · bothfrom % of charges | $9.53 | $28.58 | $4.71 – $296.48 |
| 20 | Aetna cmc aetna percent of total billed charges · bothfrom % of charges | $8.69 | $29.35 | $6.52 – $273.67 |
| 21 | Aetna cmc aetna whole health percent of total billed charges · bothfrom % of charges | $8.69 | $29.35 | $6.52 – $273.67 |
| 22 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $10.26 | $30.78 | $5.07 – $319.28 |
| 23 | Blue Cross Blue Shield cmc horizon omnia percent of total billed charges · bothfrom % of charges | $9.13 | $30.84 | $6.85 – $287.58 |
| 24 | Cigna cmc cigna oap percent of total billed charges · bothfrom % of charges | $9.64 | $32.58 | $7.23 – $303.78 |
| 25 | Anthem cmc horizon commercial percent of total billed charges · bothfrom % of charges | $9.92 | $33.52 | $7.44 – $312.58 |
Last updated: Apr 1, 2026
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