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 % INTRAVENOUS SOLUTION
West Bloomfield, MI
See all hospitals reporting RC 258 →Price type
Henry Ford Health System’s median price of $15 is 61% below the median hospital's median price ($38), higher than 23% 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, 13 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 | Molina medicaid hmo facility · fee schedule · outpatient | $0.74 | $0.74 | $0.74 – $0.74 |
| 2 | WellCare medicare advantage facility · fee schedule · outpatient | $1.18 | $1.18 | $1.18 – $1.18 |
| 3 | Humana tricare facility · fee schedule · outpatient | $1.30 | $1.30 | $1.30 – $1.30 |
| 4 | Aetna commercial facility · fee schedule · outpatient | $3.37 | $9.35 | $3.37 – $21.31 |
| 5 | Molina dual mi coordinated health facility · percent of total billed charges · outpatientfrom % of charges | $7.35 | $24.42 | $1.50 – $471.60 |
| 6 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $7.85 | $24.99 | $1.51 – $474.74 |
| 7 | Amerihealth Caritas dual products facility · percent of total billed charges · outpatientfrom % of charges | $9.80 | $32.56 | $2.00 – $628.80 |
| 8 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $12.74 | $42.33 | $2.60 – $817.44 |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $13.76 | $45.74 | $2.81 – $883.15 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.53 | $52.80 | $3.17 – $995.39 |
| 11 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $16.42 | $54.55 | $3.35 – $1,053 |
| 12 | UnitedHealthcare baseline benefit plan facility · percent of total billed charges · outpatientfrom % of charges | $17.44 | $57.96 | $3.56 – $1,119 |
| 13 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.44 | $57.96 | $3.56 – $1,119 |
Last updated: Jun 28, 2026
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