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
WATER FOR INJECTION, STERILE 100 % INTRAVENOUS SOLUTION
Berryville, AR
See all hospitals reporting RC 258 →Price type
Mercy Hospital Berryville’s median price of $52 is 36% above the median hospital's median price ($38), higher than 61% 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: 15 payers, 21 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 | Tricare hb bryv tricare facility · percent of total billed charges · outpatientfrom % of charges | $27.30 | $33.99 | $2.86 – $96.71 |
| 2 | Aetna hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 3 | Blue Cross Blue Shield hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 4 | First Health hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 5 | Humana hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 6 | Medica hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 7 | Medicare hb bryv medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 8 | UnitedHealthcare hb bryv uhc 100% medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 9 | WellCare hb bryv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $29.87 | $37.19 | $3.13 – $105.83 |
| 10 | WellCare hb bryv allwell 103% mcr hmo facility · percent of total billed charges · outpatientfrom % of charges | $30.77 | $38.31 | $3.22 – $109.00 |
| 11 | Devoted hb bryv devoted mcr facility · percent of total billed charges · outpatientfrom % of charges | $31.07 | $38.69 | $3.25 – $110.07 |
| 12 | Cigna hb bryv healthsprings cigna mcr 105% facility · percent of total billed charges · outpatientfrom % of charges | $31.36 | $39.05 | $3.29 – $111.12 |
| 13 | Ambetter hb bryv ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $40.69 | $50.66 | $4.26 – $144.15 |
| 14 | Optum hb bryv premiercare uhc facility · percent of total billed charges · outpatientfrom % of charges | $63.00 | $78.45 | $6.60 – $223.20 |
| 15 | UnitedHealthcare hb bryv premiercare uhc facility · percent of total billed charges · outpatientfrom % of charges | $63.00 | $78.45 | $6.60 – $223.20 |
| 16 | Medica hb aura bryv medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $88.83 | $110.61 | $9.31 – $314.71 |
| 17 | First Health hb bryv coventry health care inc-first health leased facility · percent of total billed charges · outpatientfrom % of charges | $89.25 | $111.13 | $9.35 – $316.20 |
| 18 | Humana hb bryv humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $89.25 | $111.13 | $9.35 – $316.20 |
| 19 | MultiPlan hb bryv phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $99.75 | $124.21 | $10.45 – $353.40 |
| 20 | Anthem hb bryv blue cross facility · percent of total billed charges · outpatientfrom % of charges | $105.00 | $130.74 | $11.00 – $372.00 |
| 21 | Blue Cross Blue Shield hb bryv blue cross facility · percent of total billed charges · outpatientfrom % of charges | $105.00 | $130.74 | $11.00 – $372.00 |
Last updated: Jun 4, 2026
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