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
plasma protein fraction 5% Soln 50 mL Vial
Scranton, PA
See all hospitals reporting RC 258 →Price type
Geisinger Community Medical Center’s median price of $16 is 56% 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, 22 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 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $1.20 | $1.00 | $0.06 – $1.99 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $1.29 | $1.36 | $0.06 – $2.50 |
| 4 | Blue Cross Blue Shield highmark freedom blue - medicare advantage percent of total billed charges · outpatientfrom % of charges | $2.41 | $5.46 | $0.06 – $42.50 |
| 5 | Blue Cross Blue Shield highmark - special care percent of total billed charges · outpatientfrom % of charges | $5.65 | $12.83 | $0.01 – $99.88 |
| 6 | Blue Cross Blue Shield highmark - access care ii percent of total billed charges · outpatientfrom % of charges | $8.08 | $18.33 | $0.02 – $142.72 |
| 7 | Blue Cross Blue Shield highmark - non access care ii percent of total billed charges · outpatientfrom % of charges | $8.08 | $18.33 | $0.02 – $142.72 |
| 8 | Medicare medicare fee schedule · outpatient | $20.99 | $20.99 | $7.84 – $34.14 |
| 9 | Humana humana - medicare advantage fee schedule · outpatient | $21.41 | $21.41 | $8.00 – $34.82 |
| 10 | Aetna aetna - medicare advantage fee schedule · outpatient | $22.04 | $22.04 | $8.23 – $35.85 |
| 11 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $12.55 | $28.46 | $0.02 – $221.63 |
| 12 | Blue Cross Blue Shield first priority health percent of total billed charges · outpatientfrom % of charges | $12.99 | $29.47 | $0.02 – $229.50 |
| 13 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $13.18 | $29.90 | $0.02 – $232.86 |
| 14 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $18.16 | $41.19 | $0.03 – $320.77 |
| 15 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $18.16 | $41.19 | $0.03 – $320.77 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $27.41 | $62.19 | $0.05 – $484.29 |
| 17 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $27.41 | $62.19 | $0.05 – $484.29 |
| 18 | Ambetter ambetter fee schedule · outpatient | $69.27 | $69.27 | $25.87 – $112.67 |
| 19 | Blue Cross Blue Shield highmark - special care case rate · inpatient | $16,086 | $16,086 | $16,086 – $16,086 |
| 20 | Blue Cross Blue Shield first priority health case rate · inpatient | $18,036 | $18,036 | $18,036 – $18,036 |
| 21 | Blue Cross Blue Shield highmark - access care ii case rate · inpatient | $22,156 | $22,156 | $22,156 – $22,156 |
| 22 | Blue Cross Blue Shield highmark - non access care ii case rate · inpatient | $22,980 | $22,980 | $22,980 – $22,980 |
Last updated: Jul 1, 2026
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