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
Silver Spring, MD
See all hospitals reporting RC 258 →Price type
Holy Cross Hospital-Silver Spring’s median price of $216 is 472% above the median hospital's median price ($38), higher than 93% 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: 15 payers, 26 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 | Cigna cigna healthspring medicare advantage facility · percent of total billed charges · bothfrom % of charges | $194.79 | $184.30 | $2.65 – $494.08 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $199.20 | $188.47 | $2.71 – $505.27 |
| 3 | Humana humana medicare advantage facility · percent of total billed charges · bothfrom % of charges | $199.20 | $188.47 | $2.71 – $505.27 |
| 4 | Kaiser kaiser medicare advantage facility · percent of total billed charges · bothfrom % of charges | $199.20 | $188.47 | $2.71 – $505.27 |
| 5 | Kaiser kaiser medicaid facility · percent of total billed charges · bothfrom % of charges | $200.53 | $189.72 | $2.73 – $508.63 |
| 6 | UnitedHealthcare united healthcare medicaid facility · percent of total billed charges · bothfrom % of charges | $200.53 | $189.72 | $2.73 – $508.63 |
| 7 | Carefirst care first bcbs medicaid facility · percent of total billed charges · bothfrom % of charges | $202.73 | $191.81 | $2.76 – $514.23 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $203.61 | $192.65 | $2.77 – $516.46 |
| 9 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $204.94 | $193.90 | $2.79 – $519.82 |
| 10 | Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges | $208.03 | $196.82 | $2.83 – $527.66 |
| 11 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 12 | Anthem care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 13 | Blue Cross Blue Shield care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 14 | Carefirst care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 15 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 16 | Excellus care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 17 | Highmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 18 | Kaiser kaiser facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 19 | Premera care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 20 | Regence care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 21 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 22 | Wellmark care first bcbs facility · percent of total billed charges · bothfrom % of charges | $216.19 | $204.54 | $2.94 – $548.36 |
| 23 | Carefirst care first network leasing facility · percent of total billed charges · bothfrom % of charges | $218.39 | $206.63 | $2.97 – $553.95 |
| 24 | Humana humana facility · percent of total billed charges · bothfrom % of charges | $218.39 | $206.63 | $2.97 – $553.95 |
| 25 | Humana humana military facility · percent of total billed charges · bothfrom % of charges | $218.39 | $206.63 | $2.97 – $553.95 |
Last updated: Mar 31, 2026
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