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
AMINO ACID 5 % NO.6-DEXTROSE 20 %-ELECTROLYTES NO.23 IV SOLUTION
Carthage, MO
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Mercy Hospital Carthage’s median price of $31 is 17% below the median hospital's median price ($38), higher than 42% 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, 31 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 cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 2 | Aetna hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 3 | Blue Cross Blue Shield hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 4 | Blue Cross Blue Shield hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 5 | Cigna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 6 | Humana hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 7 | Medica hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 8 | Medicare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 9 | UnitedHealthcare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 10 | UnitedHealthcare hb cthg uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $10.71 | $36.10 | $3.02 – $153.56 |
| 11 | Tricare hb cthg tricare facility · percent of total billed charges · outpatientfrom % of charges | $10.75 | $36.24 | $3.03 – $154.13 |
| 12 | WellCare hb cthg wellcare medicare 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $11.03 | $37.18 | $3.11 – $158.14 |
| 13 | Devoted hb cthg devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $11.14 | $37.55 | $3.14 – $159.71 |
| 14 | Humana hb cthg humana ppo facility · percent of total billed charges · outpatientfrom % of charges | $11.70 | $39.43 | $3.30 – $167.70 |
| 15 | Ambetter hb cthg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $21.41 | $72.15 | $6.04 – $306.89 |
| 16 | Blue Cross Blue Shield hb cthg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $24.57 | $82.80 | $6.93 – $352.17 |
| 17 | Blue Cross Blue Shield hb cthg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $25.74 | $86.74 | $7.26 – $368.94 |
| 18 | Anthem hb cthg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $26.91 | $90.68 | $7.59 – $385.71 |
| 19 | Blue Cross Blue Shield hb cthg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $26.91 | $90.68 | $7.59 – $385.71 |
| 20 | Anthem hb cthg anthem blue access/access choice facility · percent of total billed charges · outpatientfrom % of charges | $28.86 | $97.25 | $8.14 – $413.66 |
| 21 | Blue Cross Blue Shield hb cthg anthem blue access/access choice facility · percent of total billed charges · outpatientfrom % of charges | $28.86 | $97.25 | $8.14 – $413.66 |
| 22 | Blue Cross Blue Shield hb cthg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $28.86 | $97.25 | $8.14 – $413.66 |
| 23 | Optum hb cthg uhc facility · percent of total billed charges · outpatientfrom % of charges | $32.37 | $109.08 | $9.13 – $463.97 |
| 24 | UnitedHealthcare hb cthg uhc facility · percent of total billed charges · outpatientfrom % of charges | $32.37 | $109.08 | $9.13 – $463.97 |
| 25 | UnitedHealthcare hb cthg uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $32.37 | $109.08 | $9.13 – $463.97 |
Last updated: Jun 9, 2026
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