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
Darby, PA
See all hospitals reporting RC 258 →Price type
Mercy Fitzgerald Hospital’s median price of $70 is 85% above the median hospital's median price ($38), higher than 71% 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: 12 payers, 24 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 | Aetna aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $24.50 | $50.49 | $9.80 – $110.25 |
| 2 | Anthem independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 3 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 4 | Blue Cross Blue Shield independence blue cross trad indemnity facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 5 | Carefirst independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 6 | Excellus independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 7 | Highmark independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 8 | Premera independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 9 | Regence independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 10 | Wellmark independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 11 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $41.79 | $86.12 | $16.72 – $188.06 |
| 12 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $44.10 | $90.88 | $17.64 – $198.45 |
| 13 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $45.71 | $94.20 | $18.28 – $205.70 |
| 14 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $57.40 | $118.29 | $22.96 – $258.30 |
| 15 | Magellan magellan facility · percent of total billed charges · bothfrom % of charges | $70.00 | $144.25 | $28.00 – $315.00 |
| 16 | Anthem independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 17 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 18 | Blue Cross Blue Shield independence blue cross trad indemnity facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 19 | Carefirst independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 20 | Excellus independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 21 | Highmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 22 | Premera independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 23 | Regence independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
| 24 | Wellmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $130.38 | $160.13 | $28.00 – $315.00 |
Last updated: Mar 31, 2026
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