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 250 mL Vial
Lewistown, PA
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Geisinger Lewistown Hospital’s median price of $8 is 79% below the median hospital's median price ($38), higher than 12% 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 | $1.29 | $1.05 | $0.06 – $1.99 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $1.29 | $1.35 | $0.06 – $2.50 |
| 4 | Blue Cross Blue Shield capital - special network rates percent of total billed charges · outpatientfrom % of charges | $3.70 | $10.22 | $0.01 – $65.44 |
| 5 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $4.69 | $12.95 | $0.01 – $82.89 |
| 6 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $4.73 | $13.06 | $0.01 – $83.57 |
| 7 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $5.29 | $14.60 | $0.01 – $93.49 |
| 8 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $5.47 | $15.10 | $0.01 – $96.67 |
| 9 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $5.47 | $15.10 | $0.01 – $96.67 |
| 10 | Blue Cross Blue Shield capital - basic network rates percent of total billed charges · outpatientfrom % of charges | $5.97 | $16.48 | $0.01 – $105.53 |
| 11 | Blue Cross Blue Shield highmark freedom blue - medicare advantage fee schedule · outpatient | $21.34 | $21.34 | $7.97 – $34.71 |
| 12 | Medicare medicare fee schedule · outpatient | $21.34 | $21.34 | $7.97 – $34.71 |
| 13 | Blue Cross Blue Shield capital blue cross blue journey - medicare advantage fee schedule · outpatient | $21.55 | $21.55 | $8.05 – $35.05 |
| 14 | Humana humana - medicare advantage fee schedule · outpatient | $21.55 | $21.55 | $8.05 – $35.05 |
| 15 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $10.20 | $28.15 | $0.02 – $180.20 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $10.20 | $28.15 | $0.02 – $180.20 |
| 17 | Ambetter ambetter fee schedule · outpatient | $51.21 | $51.21 | $19.13 – $83.29 |
| 18 | Blue Cross Blue Shield highmark bc/bs - special care fee schedule · outpatient | $58.09 | $58.09 | $21.69 – $94.48 |
| 19 | Blue Cross Blue Shield highmark bc/bs fee schedule · outpatient | $82.98 | $82.98 | $30.99 – $134.97 |
| 20 | Cigna cigna case rate · inpatient | $16,340 | $16,340 | $16,340 – $16,340 |
| 21 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $17,050 | $17,050 | $17,050 – $17,050 |
| 22 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $24,358 | $24,358 | $24,358 – $24,358 |
Last updated: Jul 1, 2026
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