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 3 % IVPB
Waterloo, IA
See all hospitals reporting RC 258 →Price type
Covenant Medical Center Inc’s median price of $75 is 98% above the median hospital's median price ($38), higher than 74% 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: 15 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 | Anthem wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 2 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 3 | Carefirst wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 4 | Excellus wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 5 | Highmark wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 6 | Kaiser wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 7 | Premera wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 8 | Regence wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 9 | Wellmark wellmark hmo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 10 | Wellmark wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $91.23 | $90.84 | $1.67 – $303.86 |
| 12 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $116.71 | $116.20 | $2.13 – $388.73 |
| 13 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $116.71 | $116.20 | $2.13 – $388.73 |
| 14 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $152.87 | $152.21 | $2.79 – $509.18 |
| 15 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $183.07 | $153.18 | $2.68 – $488.92 |
| 16 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $183.07 | $153.18 | $2.68 – $488.92 |
| 17 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $183.07 | $153.18 | $2.68 – $488.92 |
| 18 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $164.38 | $163.67 | $3.00 – $547.50 |
Last updated: Mar 31, 2026
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