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
DEXTROSE 10 % IV BOLUS
Westwood, NJ
See all hospitals reporting RC 258 →Price type
Hackensack Meridian at Pascack Valley’s median price of $10 is 74% below the median hospital's median price ($38), higher than 14% 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: 11 payers, 21 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 uhccp [375500] facility · percent of total billed charges · bothfrom % of charges | $3.08 | $2.67 | $1.03 – $3.60 |
| 2 | Clover clover health medicare replacement [379500] facility · percent of total billed charges · bothfrom % of charges | $3.44 | $2.98 | $1.15 – $4.01 |
| 3 | Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges | $4.20 | $3.63 | $1.40 – $4.91 |
| 4 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $7.84 | $6.78 | $2.61 – $9.14 |
| 5 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $7.84 | $6.78 | $2.61 – $9.14 |
| 6 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $7.84 | $6.78 | $2.61 – $9.14 |
| 7 | UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges | $8.57 | $7.41 | $2.86 – $10.00 |
| 8 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $8.57 | $7.41 | $2.86 – $10.00 |
| 9 | Aetna aetna signature [101528] facility · percent of total billed charges · bothfrom % of charges | $16.57 | $14.33 | $5.52 – $19.33 |
| 10 | Aetna meritain aetna ardent employee [368502] facility · percent of total billed charges · bothfrom % of charges | $16.57 | $14.33 | $5.52 – $19.33 |
| 11 | Anthem anthem blue cross blue shield [352500] facility · percent of total billed charges · bothfrom % of charges | $17.86 | $15.44 | $5.95 – $20.84 |
| 12 | Blue Cross Blue Shield empire bcbs hmo pos epo [115558] facility · percent of total billed charges · bothfrom % of charges | $17.86 | $15.44 | $5.95 – $20.84 |
| 13 | Blue Cross Blue Shield empire bcbs ppo [115559] facility · percent of total billed charges · bothfrom % of charges | $17.86 | $15.44 | $5.95 – $20.84 |
| 14 | UnitedHealthcare the empire plan [206029] facility · percent of total billed charges · bothfrom % of charges | $17.86 | $15.44 | $5.95 – $20.84 |
| 15 | Cigna cigna hmo pos open access [126018] facility · percent of total billed charges · bothfrom % of charges | $18.15 | $15.70 | $6.05 – $21.19 |
| 16 | Cigna cigna indemnity [126019] facility · percent of total billed charges · bothfrom % of charges | $18.15 | $15.70 | $6.05 – $21.19 |
| 17 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $18.54 | $16.03 | $6.18 – $21.63 |
| 18 | First Health tall tree administrators [137508] facility · percent of total billed charges · bothfrom % of charges | $18.96 | $18.96 | $18.96 – $18.96 |
| 19 | Healthcare Highways health plans inc [221008] facility · percent of total billed charges · bothfrom % of charges | $18.96 | $18.96 | $18.96 – $18.96 |
| 20 | MultiPlan ihc hs [168011] facility · percent of total billed charges · bothfrom % of charges | $18.96 | $18.96 | $18.96 – $18.96 |
| 21 | Phcs group health cooperative scw [178012] facility · percent of total billed charges · bothfrom % of charges | $18.96 | $18.96 | $18.96 – $18.96 |
Last updated: Feb 12, 2026
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