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
SODIUM CHLORIDE 0.9 % BOLUS FOR TPA
Gettysburg, PA
See all hospitals reporting RC 258 →Price type
Gettysburg Hospital’s median price of $35 is 7% below the median hospital's median price ($38), higher than 48% 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: 7 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Highmark all_plans fee schedule · outpatient | $0.95 | $1.13 | $0.11 – $2.41 |
| 2 | Aetna all_plans fee schedule · outpatient | $4.30 | $3.65 | $0.34 – $7.32 |
| 3 | First Health all_plans fee schedule · outpatient | $4.30 | $3.65 | $0.34 – $7.32 |
| 4 | Amerihealth Caritas all_plans fee schedule · outpatient | $2.24 | $6.04 | $1.12 – $38.48 |
| 5 | Blue Cross Blue Shield capital_cares_4_kids percent of total billed charges · outpatientfrom % of charges | $23.00 | $60.97 | $10.90 – $616.03 |
| 6 | Cigna all_plans fee schedule · outpatient | $11.73 | $63.31 | $6.37 – $297.50 |
| 7 | UnitedHealthcare all_plans percent of total billed charges · outpatientfrom % of charges | $47.59 | $64.10 | $17.99 – $143.23 |
| 8 | Blue Cross Blue Shield capital_blue_performance_ppo percent of total billed charges · inpatientfrom % of charges | $31.84 | $68.08 | $10.66 – $660.27 |
| 9 | Blue Cross Blue Shield capital_cares_4_kids percent of total billed charges · inpatientfrom % of charges | $31.85 | $68.10 | $10.66 – $660.51 |
| 10 | Blue Cross Blue Shield capital_blue_performance_ppo percent of total billed charges · outpatientfrom % of charges | $38.38 | $82.06 | $12.85 – $795.84 |
| 11 | Blue Cross Blue Shield all_other_plans percent of total billed charges · outpatientfrom % of charges | $32.86 | $87.11 | $15.56 – $880.05 |
| 12 | Blue Cross Blue Shield all_other_plans percent of total billed charges · inpatientfrom % of charges | $45.51 | $97.29 | $15.24 – $943.64 |
| 13 | Cigna all_plans percent of total billed charges · inpatientfrom % of charges | $51.05 | $109.13 | $17.09 – $1,058 |
| 14 | Aetna all_plans percent of total billed charges · inpatientfrom % of charges | $51.30 | $109.68 | $17.18 – $1,064 |
| 15 | First Health all_plans percent of total billed charges · inpatientfrom % of charges | $51.87 | $110.89 | $17.37 – $1,076 |
| 16 | Blue Cross Blue Shield all_plans percent of total billed charges · outpatientfrom % of charges | $52.21 | $111.62 | $17.48 – $1,083 |
| 17 | Aetna all_plans percent of total billed charges · outpatientfrom % of charges | $43.35 | $111.97 | $16.47 – $931.24 |
| 18 | First Health all_plans percent of total billed charges · outpatientfrom % of charges | $43.35 | $111.97 | $16.47 – $931.24 |
| 19 | Cigna all_plans percent of total billed charges · outpatientfrom % of charges | $35.31 | $127.38 | $16.73 – $945.69 |
Last updated: Jan 1, 2026
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