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 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION
Cassville, MO
See all hospitals reporting RC 258 →Price type
Mercy Hospital Cassville’s median price of $77 is 103% above the median hospital's median price ($38), higher than 75% 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, 30 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 casv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 2 | Blue Cross Blue Shield hb casv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 3 | Blue Cross Blue Shield hb casv medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 4 | Cigna hb casv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 5 | Humana hb casv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 6 | Medica hb casv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 7 | Medicare hb casv medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 8 | UnitedHealthcare hb casv medicare facility · percent of total billed charges · outpatientfrom % of charges | $40.17 | $35.05 | $4.21 – $40.28 |
| 9 | UnitedHealthcare hb casv uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $41.20 | $35.95 | $4.32 – $41.31 |
| 10 | Devoted hb casv devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $41.78 | $36.45 | $4.38 – $41.89 |
| 11 | WellCare hb casv wellcare medicare 103% facility · percent of total billed charges · outpatientfrom % of charges | $42.44 | $37.03 | $4.45 – $42.55 |
| 12 | Tricare hb casv tricare facility · percent of total billed charges · outpatientfrom % of charges | $42.55 | $37.12 | $4.46 – $42.66 |
| 13 | Ambetter hb casv ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $54.60 | $47.64 | $5.72 – $54.75 |
| 14 | Blue Cross Blue Shield hb casv anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $76.65 | $66.88 | $8.03 – $76.85 |
| 15 | Blue Cross Blue Shield hb casv anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $79.80 | $69.62 | $8.36 – $80.01 |
| 16 | Optum hb casv uhc all payor facility · percent of total billed charges · outpatientfrom % of charges | $84.00 | $73.29 | $8.80 – $84.22 |
| 17 | UnitedHealthcare hb casv uhc all payor facility · percent of total billed charges · outpatientfrom % of charges | $84.00 | $73.29 | $8.80 – $84.22 |
| 18 | UnitedHealthcare hb casv uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $84.00 | $73.29 | $8.80 – $84.22 |
| 19 | Humana hb casv humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $89.25 | $77.87 | $9.35 – $89.49 |
| 20 | Blue Cross Blue Shield hb casv anthem pathway exchange facility · percent of total billed charges · outpatientfrom % of charges | $92.40 | $80.62 | $9.68 – $92.65 |
| 21 | Aetna hb casv aetna facility · percent of total billed charges · outpatientfrom % of charges | $93.45 | $81.53 | $9.79 – $93.70 |
| 22 | Medica hb casv/mnck medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $94.08 | $82.08 | $9.86 – $94.33 |
| 23 | Blue Cross Blue Shield hb casv mtnv ar bc facility · percent of total billed charges · outpatientfrom % of charges | $94.50 | $82.45 | $9.90 – $94.75 |
| 24 | Cigna hb casv cigna-hmo facility · percent of total billed charges · outpatientfrom % of charges | $99.75 | $87.03 | $10.45 – $100.02 |
| 25 | Cigna hb casv cigna-ppo facility · percent of total billed charges · outpatientfrom % of charges | $99.75 | $87.03 | $10.45 – $100.02 |
Last updated: Jun 10, 2026
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