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
Ardmore, OK
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Mercy Hospital Ardmore Inc’s median price of $59 is 55% above the median hospital's median price ($38), higher than 65% 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: 8 payers, 13 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 | UnitedHealthcare hb ardm uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $28.73 | $125.57 | $4.26 – $464.40 |
| 2 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $28.95 | $126.54 | $4.29 – $468.00 |
| 3 | Medica hb ardm medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $29.69 | $129.79 | $4.40 – $480.00 |
| 4 | Aetna hb ardm aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $31.99 | $139.85 | $4.74 – $517.20 |
| 5 | UnitedHealthcare hb ardm uhc facility · percent of total billed charges · outpatientfrom % of charges | $44.17 | $193.06 | $6.55 – $714.00 |
| 6 | Cigna hb ardm cigna facility · percent of total billed charges · outpatientfrom % of charges | $44.24 | $193.38 | $6.56 – $715.20 |
| 7 | Healthcare Highways hb ardm, oklc healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $44.53 | $194.68 | $6.60 – $720.00 |
| 8 | Aetna hb ardm aetna facility · percent of total billed charges · outpatientfrom % of charges | $46.32 | $202.47 | $6.86 – $748.80 |
| 9 | First Health hb ardm aetna - first health facility · percent of total billed charges · outpatientfrom % of charges | $48.39 | $211.55 | $7.17 – $782.40 |
| 10 | Humana hb ardm humana choicecare facility · percent of total billed charges · outpatientfrom % of charges | $51.21 | $223.88 | $7.59 – $828.00 |
| 11 | MultiPlan hb ardm phcs primary facility · percent of total billed charges · outpatientfrom % of charges | $59.38 | $259.57 | $8.80 – $960.00 |
| 12 | MultiPlan hb ardm phcs complementary facility · percent of total billed charges · outpatientfrom % of charges | $66.80 | $292.02 | $9.90 – $1,080 |
| 13 | Medica hb ardm united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $74.22 | $324.47 | $11.00 – $1,200 |
Last updated: Jun 12, 2026
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