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 % IN WATER (D10W) IV INFUSION (HIET ONLY)
Philadelphia, PA
See all hospitals reporting RC 258 →Price type
Fox Chase Cancer Center’s median price of $5 is 87% below the median hospital's median price ($38), higher than 7% 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, 28 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 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $3.88 | $4.89 | $0.35 – $12.07 |
| 2 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $3.88 | $4.89 | $0.35 – $12.07 |
| 3 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $3.36 | $5.15 | $0.44 – $15.26 |
| 4 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $3.57 | $5.47 | $0.46 – $16.22 |
| 5 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $4.73 | $5.97 | $0.42 – $14.73 |
| 6 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $4.73 | $5.97 | $0.42 – $14.73 |
| 7 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.73 | $5.97 | $0.42 – $14.73 |
| 8 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.35 | $6.66 | $0.57 – $19.75 |
| 9 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $4.35 | $6.66 | $0.57 – $19.75 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $4.45 | $6.82 | $0.58 – $20.22 |
| 11 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 12 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 13 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 14 | Bcbs Pa hmo facility · percent of total billed charges · outpatientfrom % of charges | $6.44 | $8.12 | $0.57 – $20.03 |
| 15 | Bcbs Pa temple member facility · fee schedule · outpatient | $0.77 | $8.28 | $0.14 – $23.93 |
| 16 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.54 | $8.43 | $0.68 – $23.85 |
| 17 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.70 | $8.67 | $0.70 – $24.53 |
| 18 | Bcbs Pa ppo facility · percent of total billed charges · outpatientfrom % of charges | $7.03 | $8.86 | $0.63 – $21.87 |
| 19 | Bcbs Pa temple member facility · percent of total billed charges · outpatientfrom % of charges | $7.03 | $8.86 | $0.63 – $21.87 |
| 20 | Bcbs Pa hmo facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 21 | Bcbs Pa indemnity facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 22 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 23 | Bcbs Pa medicare advantage select 65 facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 24 | Bcbs Pa ppo facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 25 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $7.72 | $9.74 | $0.69 – $24.03 |
Last updated: Apr 8, 2026
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