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
POTASSIUM CHLORIDE IN 0.9%NACL 20 MEQ/L IV SOLP
West Union, IA
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Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $11 is 71% below the median hospital's median price ($38), higher than 18% 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: 6 payers, 14 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 | UnitedHealthcare all payer appendix facility · percent of total billed charges · bothfrom % of charges | $9.92 | $9.81 | $6.99 – $11.88 |
| 2 | Wellmark all products facility · percent of total billed charges · outpatientfrom % of charges | $10.20 | $10.09 | $7.19 – $12.21 |
| 3 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.40 | $10.29 | $7.33 – $12.45 |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.40 | $10.29 | $7.33 – $12.45 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.40 | $10.29 | $7.33 – $12.45 |
| 6 | Wellmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.40 | $10.29 | $7.33 – $12.45 |
| 7 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $11.00 | $10.88 | $7.76 – $13.17 |
| 8 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $11.00 | $10.88 | $7.76 – $13.17 |
| 9 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $11.00 | $10.88 | $7.76 – $13.17 |
| 10 | Ucare qualified health plan facility · percent of total billed charges · bothfrom % of charges | $16.00 | $15.83 | $11.28 – $19.16 |
| 11 | Aetna all products facility · percent of total billed charges · bothfrom % of charges | $16.40 | $16.22 | $11.56 – $19.64 |
| 12 | Wellmark all products facility · percent of total billed charges · inpatientfrom % of charges | $16.60 | $16.42 | $11.70 – $19.88 |
| 13 | MultiPlan healtheos plus facility · percent of total billed charges · bothfrom % of charges | $17.60 | $17.41 | $12.41 – $21.08 |
| 14 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · bothfrom % of charges | $18.60 | $18.40 | $13.11 – $22.27 |
Last updated: Jun 27, 2026
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