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 20 % IN WATER (D20W) 20 % IV SOLP
Lafayette, LA
See all hospitals reporting RC 258 →Price type
Lafayette General Medical Center Inc’s median price of $7 is 82% below the median hospital's median price ($38), higher than 10% 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: 10 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 | Optum all payor fee schedule · outpatient | $2.28 | $2.28 | $2.28 – $2.28 |
| 2 | WellCare all payor fee schedule · outpatient | $2.28 | $2.28 | $2.28 – $2.28 |
| 3 | Humana all payor fee schedule · outpatient | $2.39 | $2.39 | $2.28 – $2.50 |
| 4 | Aetna all payor fee schedule · outpatient | $2.44 | $2.44 | $2.28 – $2.59 |
| 5 | Aetna Better Health all payor fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 6 | Amerihealth Caritas all payor fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 7 | Cigna all payor fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 8 | Tricare all payor fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 9 | UnitedHealthcare all payor fee schedule · outpatient | $2.50 | $2.50 | $2.50 – $2.50 |
| 10 | Bcbs La all payor fee schedule · outpatient | $2.83 | $2.72 | $2.28 – $2.83 |
| 11 | Aetna Better Health all payor other · outpatient | $11.83 | $11.83 | $6.84 – $16.81 |
| 12 | Amerihealth Caritas all payor other · outpatient | $11.83 | $11.83 | $6.84 – $16.81 |
| 13 | Humana all payor other · outpatient | $11.83 | $11.83 | $6.84 – $16.81 |
| 14 | UnitedHealthcare all payor other · outpatient | $11.83 | $11.83 | $6.84 – $16.81 |
| 15 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $30.99 | $30.99 | $17.92 – $44.06 |
| 16 | Aetna all payor other · outpatient | $52.98 | $52.98 | $30.63 – $75.32 |
| 17 | Bcbs La all payor percent of total billed charges · outpatientfrom % of charges | $68.85 | $68.85 | $68.85 – $68.85 |
| 18 | Cigna all payor other · outpatient | $75.18 | $75.18 | $43.47 – $106.88 |
Last updated: Apr 1, 2026
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