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 50 % IN WATER (D50W) INTRAVENOUS SYRINGE
Columbus, KS
See all hospitals reporting RC 258 →Price type
Mercy Hospital Columbus’s median price of $30 is 21% below the median hospital's median price ($38), higher than 41% 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, 24 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 mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 2 | Ambetter hb mnck ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 3 | Blue Cross Blue Shield hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 4 | Blue Cross Blue Shield hb mnck medicare facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 5 | Cigna hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 6 | Humana hb mnck humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 7 | Medica hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 8 | Medicare hb mnck medicare facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 9 | UnitedHealthcare hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 10 | WellCare hb mnck humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 11 | WellCare hb mnck managed mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $9.90 | $21.58 | $3.03 – $76.86 |
| 12 | Devoted hb mnck devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $10.29 | $22.42 | $3.14 – $79.85 |
| 13 | Tricare hb mnck tricare facility · percent of total billed charges · outpatientfrom % of charges | $26.22 | $57.15 | $8.01 – $203.56 |
| 14 | UnitedHealthcare hb mnck uhc exchanage facility · percent of total billed charges · outpatientfrom % of charges | $26.64 | $58.07 | $8.14 – $206.83 |
| 15 | Optum hb mnck uhc facility · percent of total billed charges · outpatientfrom % of charges | $29.88 | $65.13 | $9.13 – $231.99 |
| 16 | UnitedHealthcare hb mnck uhc facility · percent of total billed charges · outpatientfrom % of charges | $29.88 | $65.13 | $9.13 – $231.99 |
| 17 | Anthem hb mnck blue cross kansas choice/ppo facility · percent of total billed charges · outpatientfrom % of charges | $30.60 | $66.70 | $9.35 – $237.58 |
| 18 | Blue Cross Blue Shield hb mnck blue cross kansas choice/ppo facility · percent of total billed charges · outpatientfrom % of charges | $30.60 | $66.70 | $9.35 – $237.58 |
| 19 | Medica hb casv/mnck medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $32.26 | $70.31 | $9.86 – $250.43 |
| 20 | Aetna hb mnck aetna facility · percent of total billed charges · outpatientfrom % of charges | $32.40 | $70.62 | $9.90 – $251.55 |
| 21 | Blue Cross Blue Shield hb mnck blue cross kansas traditional facility · percent of total billed charges · outpatientfrom % of charges | $32.40 | $70.62 | $9.90 – $251.55 |
| 22 | First Health hb mnck mercy health plans facility · percent of total billed charges · outpatientfrom % of charges | $32.40 | $70.62 | $9.90 – $251.55 |
| 23 | Humana hb mnck humana commerical (hmo/ppo) facility · percent of total billed charges · outpatientfrom % of charges | $34.20 | $74.55 | $10.45 – $265.53 |
| 24 | MultiPlan hb mnck phcs (private healthcare systems) facility · percent of total billed charges · outpatientfrom % of charges | $34.20 | $74.55 | $10.45 – $265.53 |
Last updated: Jun 9, 2026
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