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
FENTANYL 10MCG/ML NS 10057
Nowata, OK
See all hospitals reporting RC 258 →Price type
Jane Phillips Nowata Hospital, Inc.’s median price of $48 is 27% above the median hospital's median price ($38), higher than 58% 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: 9 payers, 18 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 2915_nhok medica 20250101 percent of total billed charges · outpatientfrom % of charges | $27.20 | $36.60 | $0.08 – $144.00 |
| 2 | Tricare 2160_nhok critical access hospital tricare outpatient 20230621 percent of total billed charges · outpatientfrom % of charges | $27.20 | $36.60 | $0.08 – $144.00 |
| 3 | 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 |
| 4 | Blue Cross Blue Shield 2937_nhok critical access hospital native blue medicare outpatient 20250605 percent of total billed charges · outpatientfrom % of charges | $34.85 | $46.89 | $0.11 – $184.50 |
| 5 | UnitedHealthcare 2952_nhok united health care medicare advantage outpatient 20250701 percent of total billed charges · outpatientfrom % of charges | $35.70 | $48.04 | $0.11 – $189.00 |
| 6 | Blue Cross Blue Shield 2941_nhok blue cross blue shield medicare advantage outpatient 20250605 percent of total billed charges · outpatientfrom % of charges | $36.55 | $49.18 | $0.11 – $193.50 |
| 7 | 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 |
| 8 | 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 |
| 9 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · outpatientfrom % of charges | $54.40 | $73.20 | $0.17 – $288.00 |
| 10 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $56.95 | $76.63 | $0.17 – $301.50 |
| 11 | First Health 864_nhok spok first health 20141201 percent of total billed charges · outpatientfrom % of charges | $59.50 | $80.06 | $0.18 – $315.00 |
| 12 | UnitedHealthcare 2950_spok, nhok united health care 20250701 percent of total billed charges · outpatientfrom % of charges | $62.90 | $84.64 | $0.19 – $333.00 |
| 13 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · outpatientfrom % of charges | $68.00 | $91.50 | $0.21 – $360.00 |
| 14 | 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 |
| 15 | Aetna 755_nhok aetna 20180101 percent of total billed charges · outpatientfrom % of charges | $72.25 | $97.22 | $0.22 – $382.50 |
| 16 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $72.25 | $97.22 | $0.22 – $382.50 |
| 17 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $76.50 | $102.94 | $0.23 – $405.00 |
| 18 | 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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