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
Wilkes-Barre, PA
See all hospitals reporting RC 258 →Price type
Geisinger Wyoming Valley’s median price of $17 is 55% below the median hospital's median price ($38), higher than 26% 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: 8 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medicaid medicaid fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | UnitedHealthcare united healthcare - managed medicaid fee schedule · outpatient | $0.66 | $1.01 | $0.06 – $1.99 |
| 3 | UnitedHealthcare united healthcare - chip - managed medicare fee schedule · outpatient | $0.66 | $1.26 | $0.06 – $2.50 |
| 4 | Blue Cross Blue Shield highmark bc/bs - special care percent of total billed charges · outpatientfrom % of charges | $6.65 | $14.74 | $0.01 – $117.48 |
| 5 | Blue Cross Blue Shield capital - enhanced network rates percent of total billed charges · outpatientfrom % of charges | $7.38 | $16.35 | $0.01 – $130.36 |
| 6 | Medicare medicare fee schedule · outpatient | $20.99 | $20.99 | $7.84 – $34.14 |
| 7 | Blue Cross Blue Shield highmark bc/bs percent of total billed charges · outpatientfrom % of charges | $9.50 | $21.06 | $0.02 – $167.85 |
| 8 | Medicare black lung - medicare advantage fee schedule · outpatient | $23.72 | $23.72 | $8.86 – $38.58 |
| 9 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $13.34 | $29.55 | $0.02 – $235.59 |
| 10 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $15.09 | $33.45 | $0.03 – $266.64 |
| 11 | Aetna first health network percent of total billed charges · inpatientfrom % of charges | $21.19 | $46.96 | $0.04 – $374.33 |
| 12 | Aetna first health network percent of total billed charges · outpatientfrom % of charges | $21.19 | $46.96 | $0.04 – $374.33 |
| 13 | MultiPlan beech street percent of total billed charges · inpatientfrom % of charges | $27.41 | $60.75 | $0.05 – $484.29 |
| 14 | MultiPlan beech street percent of total billed charges · outpatientfrom % of charges | $27.41 | $60.75 | $0.05 – $484.29 |
| 15 | MultiPlan multiplan/private health care system percent of total billed charges · inpatientfrom % of charges | $27.41 | $60.75 | $0.05 – $484.29 |
| 16 | MultiPlan multiplan/private health care system percent of total billed charges · outpatientfrom % of charges | $27.41 | $60.75 | $0.05 – $484.29 |
| 17 | Ambetter ambetter fee schedule · outpatient | $69.27 | $69.27 | $25.87 – $112.67 |
| 18 | Blue Cross Blue Shield highmark bc/bs - special care case rate · inpatient | $16,229 | $16,229 | $16,229 – $16,229 |
| 19 | Blue Cross Blue Shield highmark bc/bs case rate · inpatient | $23,185 | $23,185 | $23,185 – $23,185 |
Last updated: Jul 1, 2026
See Pharmacy charge pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.