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
D5-NACL 0.2% IV SOLP
Mankato 56001-4752
See all hospitals reporting RC 258 →Price type
Mayo Clinic Health System’s median price of $75 is 100% above the median hospital's median price ($38), higher than 75% 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, 31 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 | Healthpartners medicaid cah healthpartners [1174] facility · percent of total billed charges · bothfrom % of charges | $17.06 | $16.72 | $15.79 – $17.43 |
| 2 | Ucare pps medicaid ucare [1187] facility · percent of total billed charges · bothfrom % of charges | $17.06 | $16.72 | $15.79 – $17.43 |
| 3 | Medica medica medicare advantage plan msho msc+ cap [1074] facility · percent of total billed charges · bothfrom % of charges | $41.33 | $40.51 | $38.25 – $42.24 |
| 4 | Optum medica ma behavioral health [1353] facility · percent of total billed charges · bothfrom % of charges | $43.46 | $42.61 | $40.23 – $44.41 |
| 5 | Optum medica medicare advantage plan behavioral health [1352] facility · percent of total billed charges · bothfrom % of charges | $50.02 | $49.04 | $46.30 – $51.12 |
| 6 | Blue Cross Blue Shield winona health [1288] facility · percent of total billed charges · bothfrom % of charges | $69.70 | $68.33 | $64.52 – $71.23 |
| 7 | Blue Cross Blue Shield blue cross blue shield blue plus se with skemp [236] facility · percent of total billed charges · bothfrom % of charges | $70.89 | $69.49 | $65.62 – $72.45 |
| 8 | Medica deanhp by medica west mc hmo 88 pct [1265] facility · percent of total billed charges · bothfrom % of charges | $72.16 | $70.74 | $66.79 – $73.74 |
| 9 | Medica medica completehealth and engage [98] facility · percent of total billed charges · bothfrom % of charges | $72.16 | $70.74 | $66.79 – $73.74 |
| 10 | Ucare & swwi ucare ifp [1109] facility · percent of total billed charges · bothfrom % of charges | $72.16 | $70.74 | $66.79 – $73.74 |
| 11 | Blue Cross Blue Shield blue cross blue shield fep [870] facility · percent of total billed charges · bothfrom % of charges | $73.30 | $71.86 | $67.85 – $74.91 |
| 12 | Anthem blue cross blue shield blue plus [227] facility · percent of total billed charges · bothfrom % of charges | $74.62 | $73.15 | $69.07 – $76.26 |
| 13 | Blue Cross Blue Shield blue cross blue shield blue plus [227] facility · percent of total billed charges · bothfrom % of charges | $74.62 | $73.15 | $69.07 – $76.26 |
| 14 | Medica medica non mayo employees group [759] facility · percent of total billed charges · bothfrom % of charges | $75.44 | $73.96 | $69.83 – $77.10 |
| 15 | UnitedHealthcare multi uhc [269] facility · percent of total billed charges · bothfrom % of charges | $75.44 | $73.96 | $69.83 – $77.10 |
| 16 | Healthpartners healthpartners [290] facility · percent of total billed charges · bothfrom % of charges | $76.26 | $74.76 | $70.59 – $77.93 |
| 17 | Medica united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $76.26 | $74.76 | $70.59 – $77.93 |
| 18 | Optum united behavioral health [391] facility · percent of total billed charges · bothfrom % of charges | $76.26 | $74.76 | $70.59 – $77.93 |
| 19 | Medica & swwi medica choice [86] facility · percent of total billed charges · bothfrom % of charges | $77.08 | $75.56 | $71.35 – $78.77 |
| 20 | Aetna multi aetna [135] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
| 21 | Blue Cross Blue Shield blue cross blue shield tiered network [886] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
| 22 | Cigna cigna [644] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
| 23 | First Health multi aetna [135] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
| 24 | Humana cigna [644] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
| 25 | Medcost cigna [644] facility · percent of total billed charges · bothfrom % of charges | $77.90 | $76.37 | $72.11 – $79.61 |
Last updated: Mar 31, 2026
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