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
SODIUM CHLORIDE 0.45 % INTRAVENOUS SOLUTION
Booneville, AR
See all hospitals reporting RC 258 →Price type
Mercy Hospital Booneville’s median price of $23 is 38% below the median hospital's median price ($38), higher than 34% 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, 22 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 hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $14.43 | $14.39 | $2.75 – $26.89 |
| 2 | Humana hb bnvar ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $14.43 | $14.39 | $2.75 – $26.89 |
| 3 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 4 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 5 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 6 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 7 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 8 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 9 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 10 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $16.98 | $16.93 | $3.24 – $31.65 |
| 11 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $17.05 | $17.00 | $3.25 – $31.77 |
| 12 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $17.49 | $17.44 | $3.33 – $32.60 |
| 13 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $17.66 | $17.61 | $3.37 – $32.92 |
| 14 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $17.83 | $17.78 | $3.40 – $33.23 |
| 15 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $23.43 | $23.37 | $4.47 – $43.66 |
| 16 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $34.62 | $34.53 | $6.60 – $64.52 |
| 17 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · percent of total billed charges · outpatientfrom % of charges | $34.62 | $34.53 | $6.60 – $64.52 |
| 18 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $37.51 | $37.41 | $7.15 – $69.90 |
| 19 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $46.16 | $46.04 | $8.80 – $86.03 |
| 20 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $49.05 | $48.92 | $9.35 – $91.41 |
| 21 | Anthem hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $51.93 | $51.79 | $9.90 – $96.79 |
| 22 | Blue Cross Blue Shield hb bnvar blue cross facility · percent of total billed charges · outpatientfrom % of charges | $51.93 | $51.79 | $9.90 – $96.79 |
Last updated: Jun 8, 2026
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