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
AMINO ACID 4.25 % NO.1-DEXTROSE 5 %-ELECTROLYTES NO.39 IV SOLUTION
Canal Winchester, OH
See all hospitals reporting RC 258 →Price type
Diley Ridge Medical Center’s median price of $46 is 21% above the median hospital's median price ($38), higher than 56% 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: 11 payers, 16 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 | Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges | $36.71 | $42.09 | $8.08 – $99.68 |
| 2 | Medcost cofinity facility · percent of total billed charges · bothfrom % of charges | $38.18 | $43.78 | $8.41 – $103.67 |
| 3 | Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges | $40.14 | $46.03 | $8.84 – $109.00 |
| 4 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $41.37 | $47.44 | $9.11 – $112.33 |
| 5 | Humana choice care humana facility · percent of total billed charges · bothfrom % of charges | $41.80 | $47.93 | $9.20 – $113.51 |
| 6 | Humana humana one facility · percent of total billed charges · bothfrom % of charges | $41.80 | $47.93 | $9.20 – $113.51 |
| 7 | First Health aetna first health facility · percent of total billed charges · bothfrom % of charges | $43.08 | $49.41 | $9.49 – $116.99 |
| 8 | UnitedHealthcare united healthcare exchange facility · percent of total billed charges · bothfrom % of charges | $45.21 | $51.84 | $9.95 – $122.77 |
| 9 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $45.84 | $52.57 | $10.09 – $124.48 |
| 10 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $46.60 | $53.44 | $10.26 – $126.54 |
| 11 | Caresource caresource marketplace facility · percent of total billed charges · bothfrom % of charges | $59.68 | $68.44 | $13.14 – $162.06 |
| 12 | Medical Mutual medical mutual ohio health traditional facility · percent of total billed charges · bothfrom % of charges | $62.21 | $71.34 | $13.70 – $168.94 |
| 13 | MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $65.32 | $74.91 | $14.38 – $177.38 |
| 14 | Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges | $65.32 | $74.91 | $14.38 – $177.38 |
| 15 | Aetna aetnaio health facility · percent of total billed charges · bothfrom % of charges | $81.75 | $93.75 | $18.00 – $222.00 |
| 16 | Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges | $81.75 | $93.75 | $18.00 – $222.00 |
Last updated: Mar 31, 2026
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