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
Muskegon, MI
See all hospitals reporting RC 258 →Price type
Mercy Health Hackley Campus’s median price of $28 is 27% below the median hospital's median price ($38), higher than 40% 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: 19 payers, 30 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 preferred facility · percent of total billed charges · bothfrom % of charges | $16.84 | $41.05 | $12.63 – $122.09 |
| 2 | Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 3 | Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 4 | Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 5 | Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 6 | Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 7 | Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 8 | Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 9 | Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 10 | Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges | $21.95 | $52.64 | $14.63 – $141.46 |
| 11 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $25.16 | $61.33 | $18.87 – $182.41 |
| 12 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $25.18 | $61.37 | $18.88 – $182.53 |
| 13 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $30.00 | $73.13 | $22.50 – $217.50 |
| 14 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $30.00 | $73.13 | $22.50 – $217.50 |
| 15 | Aetna aetna ppo facility · percent of total billed charges · bothfrom % of charges | $30.51 | $73.17 | $20.34 – $196.62 |
| 16 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $31.52 | $76.83 | $23.64 – $228.52 |
| 17 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $31.52 | $76.83 | $23.64 – $228.52 |
| 18 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $31.52 | $76.83 | $23.64 – $228.52 |
| 19 | First Health first health ppo facility · percent of total billed charges · bothfrom % of charges | $32.83 | $80.02 | $24.62 – $238.00 |
| 20 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $35.20 | $85.80 | $26.40 – $255.20 |
| 21 | Anthem bcbs trad / trust facility · fee schedule · both | $227.21 | $227.21 | $227.21 – $227.21 |
| 22 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $227.21 | $227.21 | $227.21 – $227.21 |
| 23 | Carefirst bcbs trad / trust facility · fee schedule · both | $227.21 | $227.21 | $227.21 – $227.21 |
| 24 | Excellus bcbs trad / trust facility · fee schedule · both | $227.21 | $227.21 | $227.21 – $227.21 |
| 25 | Highmark bcbs trad / trust facility · fee schedule · both | $227.21 | $227.21 | $227.21 – $227.21 |
Last updated: Mar 31, 2026
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