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
"NITROGLYCERIN IN 5 % DEXTROSE 50 MG/250 ML (200 MCG/ML) SOLN"
Elkins, WV
See all hospitals reporting RC 258 →Price type
Davis Medical Center’s median price of $30 is 20% below the median hospital's median price ($38), higher than 42% 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: 6 payers, 11 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 commercial facility · percent of total billed charges · inpatientfrom % of charges | $25.81 | $49.33 | $5.65 – $123.42 |
| 2 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $25.81 | $49.33 | $5.65 – $123.42 |
| 3 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $28.77 | $54.98 | $6.29 – $137.56 |
| 4 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $30.32 | $57.95 | $6.63 – $144.99 |
| 5 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $30.32 | $57.95 | $6.63 – $144.99 |
| 6 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $30.32 | $57.95 | $6.63 – $144.99 |
| 7 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $30.32 | $57.95 | $6.63 – $144.99 |
| 8 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $31.55 | $60.29 | $6.90 – $150.83 |
| 9 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $31.55 | $60.29 | $6.90 – $150.83 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $32.94 | $62.94 | $7.20 – $157.48 |
| 11 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $32.94 | $62.94 | $7.20 – $157.48 |
Last updated: Jul 30, 2026
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