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
LACTATED RINGERS IV BOLUS
Lebanon, PA
See all hospitals reporting RC 258 →Price type
Good Samaritan Hospital’s median price of $28 is 25% below the median hospital's median price ($38), higher than 40% 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Highmark all_plans fee schedule · outpatient | $0.48 | $1.03 | $0.11 – $2.41 |
| 2 | Blue Cross Blue Shield capital_blue_cross_healthy_benefits_ppo fee schedule · outpatient | $0.42 | $1.05 | $0.02 – $4.18 |
| 3 | Blue Cross Blue Shield capital_cares_4_kids fee schedule · outpatient | $0.72 | $1.11 | $0.01 – $3.66 |
| 4 | Blue Cross Blue Shield all_other_plans fee schedule · outpatient | $1.03 | $1.59 | $0.02 – $5.23 |
| 5 | Blue Cross Blue Shield capital_blue_performance_ppo fee schedule · outpatient | $1.03 | $1.59 | $0.02 – $5.23 |
| 6 | Aetna all_plans fee schedule · outpatient | $2.88 | $3.32 | $0.34 – $7.32 |
| 7 | First Health all_plans fee schedule · outpatient | $3.17 | $3.65 | $0.37 – $8.06 |
| 8 | Amerihealth Caritas all_plans fee schedule · outpatient | $1.88 | $5.41 | $1.12 – $38.48 |
| 9 | Aetna Better Health all_plans percent of total billed charges · outpatientfrom % of charges | $6.30 | $7.32 | $3.15 – $12.87 |
| 10 | Cigna all_plans fee schedule · outpatient | $8.35 | $61.51 | $4.38 – $297.50 |
| 11 | UnitedHealthcare all_plans percent of total billed charges · outpatientfrom % of charges | $57.45 | $66.61 | $29.55 – $173.30 |
| 12 | Blue Cross Blue Shield capital_cares_4_kids percent of total billed charges · outpatientfrom % of charges | $16.76 | $68.99 | $7.16 – $503.15 |
| 13 | Blue Cross Blue Shield capital_blue_cross_healthy_benefits_ppo percent of total billed charges · outpatientfrom % of charges | $19.16 | $76.16 | $8.18 – $575.01 |
| 14 | Blue Cross Blue Shield all_plans percent of total billed charges · outpatientfrom % of charges | $42.90 | $97.13 | $12.30 – $853.65 |
| 15 | Blue Cross Blue Shield all_other_plans percent of total billed charges · outpatientfrom % of charges | $23.95 | $98.55 | $10.22 – $718.74 |
| 16 | Cigna all_plans percent of total billed charges · outpatientfrom % of charges | $26.17 | $107.68 | $11.17 – $785.31 |
| 17 | Cigna all_plans percent of total billed charges · inpatientfrom % of charges | $50.90 | $114.74 | $14.59 – $1,013 |
| 18 | Aetna all_plans percent of total billed charges · outpatientfrom % of charges | $33.29 | $123.16 | $14.21 – $999.17 |
| 19 | First Health all_plans percent of total billed charges · outpatientfrom % of charges | $36.61 | $135.45 | $15.63 – $1,099 |
Last updated: Jan 1, 2026
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