RC 258

Pharmacy charge at Mercy Health Lakeshore Campus

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEXTROSE 10 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION

Shelby, MI

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Pricing by billing methodology

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How this price compares nationally

Mercy Health Lakeshore Campus’s median price of $106 is 180% above the median hospital's median price ($38), higher than 85% of the 1,497 hospitals reporting RC 258. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 258 at Mercy Health Lakeshore Campus

Negotiated rates from the hospital’s own file: 21 payers, 25 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	Blue Cross Blue Shield bcbs medicare advantage facility · percent of total billed charges · bothfrom % of charges	$30.32	$37.87	$12.25 – $71.05
2	Molina molina medicare advantage facility · percent of total billed charges · bothfrom % of charges	$30.32	$37.87	$12.25 – $71.05
3	Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges	$30.94	$38.65	$12.50 – $72.50
4	Oscar oscar epo facility · percent of total billed charges · bothfrom % of charges	$38.02	$47.49	$15.36 – $89.09
5	UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges	$43.34	$54.14	$17.51 – $101.56
6	Molina molina hmo marketplace facility · percent of total billed charges · bothfrom % of charges	$51.48	$64.31	$20.80 – $120.64
7	Aetna aetna ppo and preferred facility · percent of total billed charges · bothfrom % of charges	$98.51	$123.05	$39.80 – $230.84
8	Anthem bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
9	Blue Cross Blue Shield bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
10	Carefirst bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
11	Excellus bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
12	Highmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
13	Kaiser bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
14	Premera bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
15	Regence bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
16	Wellmark bcbs trad / trust facility · percent of total billed charges · bothfrom % of charges	$105.77	$132.12	$42.74 – $247.86
17	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$106.43	$132.94	$43.00 – $249.40
18	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$106.43	$132.94	$43.00 – $249.40
19	Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges	$107.40	$134.16	$43.40 – $251.69
20	Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges	$110.41	$137.92	$44.61 – $258.74
21	Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$110.76	$138.35	$44.75 – $259.55
22	Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$110.76	$138.35	$44.75 – $259.55
23	Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges	$110.76	$138.35	$44.75 – $259.55
24	UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges	$111.38	$139.13	$45.00 – $261.00
25	First Health first health facility · percent of total billed charges · bothfrom % of charges	$111.87	$139.74	$45.20 – $262.16

Last updated: Mar 31, 2026

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