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 % IN WATER (D10W) INTRAVENOUS SOLUTION
Ada, OK
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Mercy Hospital Ada Inc’s median price of $39 is 3% above the median hospital's median price ($38), higher than 51% 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: 7 payers, 11 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 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $25.35 | $72.91 | $4.29 – $251.55 |
| 2 | Medica hb ada medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $26.00 | $74.78 | $4.40 – $258.00 |
| 3 | UnitedHealthcare hb ada uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $29.90 | $85.99 | $5.06 – $296.70 |
| 4 | Aetna hb ada aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $39.91 | $114.78 | $6.75 – $396.03 |
| 5 | UnitedHealthcare hb ada uhc facility · percent of total billed charges · outpatientfrom % of charges | $45.50 | $130.86 | $7.70 – $451.50 |
| 6 | Aetna hb ada aetna facility · percent of total billed charges · outpatientfrom % of charges | $47.97 | $137.96 | $8.12 – $476.01 |
| 7 | Healthcare Highways hb ada, hmh, kgfer, lgnok, lhcp, tish, wtga healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $48.75 | $140.21 | $8.25 – $483.75 |
| 8 | First Health hb ada aetna - first health facility · percent of total billed charges · outpatientfrom % of charges | $52.98 | $152.36 | $8.97 – $525.68 |
| 9 | MultiPlan hb ada phcs primary & complementary facility · percent of total billed charges · outpatientfrom % of charges | $55.25 | $158.90 | $9.35 – $548.25 |
| 10 | Medica hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $65.00 | $186.94 | $11.00 – $645.00 |
| 11 | Optum hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $65.00 | $186.94 | $11.00 – $645.00 |
Last updated: Jun 11, 2026
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