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 10 % IV BOLUS
Port Angeles, WA
See all hospitals reporting RC 258 →Price type
Clallam County Public Hospital District 2 DBA Olympic Medical Center’s median price of $63 is 66% above the median hospital's median price ($38), higher than 67% 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, 20 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 | Molina medicaid advantage fee schedule · inpatient | $42.29 | $42.29 | $21.56 – $63.01 |
| 2 | Molina medicaid advantage fee schedule · outpatient | $42.29 | $42.29 | $21.56 – $63.01 |
| 3 | UnitedHealthcare medicaid advantage fee schedule · inpatient | $46.31 | $46.31 | $23.61 – $69.01 |
| 4 | UnitedHealthcare medicaid advantage fee schedule · outpatient | $46.31 | $46.31 | $23.61 – $69.01 |
| 5 | Regence uniform medical fee schedule · inpatient | $35.04 | $47.51 | $24.68 – $80.55 |
| 6 | Regence uniform medical fee schedule · outpatient | $35.04 | $47.51 | $24.68 – $80.55 |
| 7 | Ambetter cascade select fee schedule · inpatient | $56.43 | $76.50 | $39.74 – $129.69 |
| 8 | Ambetter cascade select fee schedule · outpatient | $56.43 | $76.50 | $39.74 – $129.69 |
| 9 | Ambetter all other plans fee schedule · inpatient | $59.56 | $80.75 | $41.95 – $136.90 |
| 10 | Ambetter all other plans fee schedule · outpatient | $59.56 | $80.75 | $41.95 – $136.90 |
| 11 | Cigna all plans fee schedule · inpatient | $61.06 | $82.79 | $43.01 – $140.36 |
| 12 | Cigna all plans fee schedule · outpatient | $61.06 | $82.79 | $43.01 – $140.36 |
| 13 | Aetna all plans fee schedule · inpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 14 | Aetna all plans fee schedule · outpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 15 | Premera all plans fee schedule · inpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 16 | Premera all plans fee schedule · outpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 17 | Regence all other plans fee schedule · inpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 18 | Regence all other plans fee schedule · outpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 19 | UnitedHealthcare all other plans fee schedule · inpatient | $62.70 | $85.01 | $44.16 – $144.11 |
| 20 | UnitedHealthcare all other plans fee schedule · outpatient | $62.70 | $85.01 | $44.16 – $144.11 |
Last updated: Jun 24, 2026
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