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
D10W 500ML 2374
Bartlesville, OK
See all hospitals reporting RC 258 →Price type
Jane Phillips Memorial Medical Center’s median price of $53 is 39% above the median hospital's median price ($38), higher than 62% 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: 7 payers, 17 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 | Medica 2919_jpok medica inpatient 20250101 percent of total billed charges · bothfrom % of charges | $21.25 | $28.59 | $0.07 – $112.50 |
| 2 | Medica 2709_baok, jpok, mcok, ohok medica outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $34.00 | $45.75 | $0.10 – $180.00 |
| 3 | Aetna 2651_jpok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $37.40 | $50.32 | $0.11 – $198.00 |
| 4 | Aetna 2659_mcok, baok, ohok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $37.40 | $50.32 | $0.11 – $198.00 |
| 5 | UnitedHealthcare 2948_jpok, baok, ohok united health care 20250701 percent of total billed charges · outpatientfrom % of charges | $52.70 | $70.91 | $0.16 – $279.00 |
| 6 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · outpatientfrom % of charges | $54.40 | $73.20 | $0.17 – $288.00 |
| 7 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $56.95 | $76.63 | $0.17 – $301.50 |
| 8 | First Health 864_nhok spok first health 20141201 percent of total billed charges · outpatientfrom % of charges | $59.50 | $80.06 | $0.18 – $315.00 |
| 9 | UnitedHealthcare 2950_spok, nhok united health care 20250701 percent of total billed charges · outpatientfrom % of charges | $62.90 | $84.64 | $0.19 – $333.00 |
| 10 | Aetna 2650_jpok aetna 20241001 percent of total billed charges · outpatientfrom % of charges | $68.00 | $91.50 | $0.21 – $360.00 |
| 11 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · outpatientfrom % of charges | $68.00 | $91.50 | $0.21 – $360.00 |
| 12 | Cigna 2652_jpok cigna 20241001 percent of total billed charges · outpatientfrom % of charges | $68.00 | $91.50 | $0.21 – $360.00 |
| 13 | First Health 2649_baok, jpok, mcok, ohok first health 20241001 percent of total billed charges · outpatientfrom % of charges | $68.00 | $91.50 | $0.21 – $360.00 |
| 14 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $72.25 | $97.22 | $0.22 – $382.50 |
| 15 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $76.50 | $102.94 | $0.23 – $405.00 |
| 16 | MultiPlan 848_jpok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $80.75 | $108.66 | $0.25 – $427.50 |
| 17 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $85.00 | $114.37 | $0.26 – $450.00 |
Last updated: Jan 1, 2026
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