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 INJ 50%
CLINTWOOD, VA
See all hospitals reporting RC 258 →Price type
Dickenson Community Hospital’s median price of $15 is 60% below the median hospital's median price ($38), higher than 24% 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: 9 payers, 21 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 blue cross ballad health employee fee schedule · both | $10.00 | $10.00 | $9.23 – $10.76 |
| 2 | Aetna aetna healthcare medicare percent of total billed charges · bothfrom % of charges | $14.51 | $14.10 | $4.80 – $31.31 |
| 3 | Blue Cross Blue Shield anthem medicare virginia percent of total billed charges · bothfrom % of charges | $14.51 | $14.10 | $4.80 – $31.31 |
| 4 | UnitedHealthcare united healthcare medicare percent of total billed charges · bothfrom % of charges | $14.51 | $14.10 | $4.80 – $31.31 |
| 5 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $14.74 | $14.33 | $4.88 – $31.81 |
| 6 | Aetna aetna better health of virginia medicare percent of total billed charges · bothfrom % of charges | $14.95 | $14.53 | $4.94 – $32.25 |
| 7 | Molina molina healthcare medicare percent of total billed charges · bothfrom % of charges | $15.09 | $14.67 | $4.99 – $32.56 |
| 8 | Cigna cigna medicare percent of total billed charges · bothfrom % of charges | $15.24 | $14.81 | $5.04 – $32.88 |
| 9 | Devoted devoted health plan medicare percent of total billed charges · bothfrom % of charges | $15.24 | $14.81 | $5.04 – $32.88 |
| 10 | Medcost medcost vhn percent of total billed charges · bothfrom % of charges | $16.93 | $16.46 | $5.60 – $36.53 |
| 11 | Ambetter ambetter percent of total billed charges · bothfrom % of charges | $17.90 | $17.40 | $5.92 – $38.61 |
| 12 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $18.82 | $18.29 | $6.22 – $40.60 |
| 13 | Cigna cigna open access plus percent of total billed charges · bothfrom % of charges | $18.82 | $18.29 | $6.22 – $40.60 |
| 14 | UnitedHealthcare uhc heritage select other · both | $18.92 | $18.39 | $6.26 – $40.80 |
| 15 | UnitedHealthcare tenncare united healthcare percent of total billed charges · bothfrom % of charges | $21.77 | $21.04 | $7.20 – $46.96 |
| 16 | Cigna cigna individual family plan percent of total billed charges · bothfrom % of charges | $22.45 | $21.82 | $7.42 – $48.42 |
| 17 | UnitedHealthcare uhc heritage river valley other · both | $22.69 | $22.05 | $7.50 – $48.94 |
| 18 | UnitedHealthcare united healthcare percent of total billed charges · bothfrom % of charges | $22.69 | $22.05 | $7.50 – $48.94 |
| 19 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $23.37 | $22.71 | $7.73 – $50.41 |
| 20 | Blue Cross Blue Shield blue cross ballad health employee percent of total billed charges · bothfrom % of charges | $33.87 | $32.72 | $11.20 – $73.05 |
| 21 | Aetna aetna percent of total billed charges · bothfrom % of charges | $38.70 | $37.61 | $12.80 – $83.49 |
Last updated: Mar 23, 2026
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