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 3 % IVPB
New Hampton, IA
See all hospitals reporting RC 258 →Price type
Mercy Medical Center - New Hampton’s median price of $28 is 25% below the median hospital's median price ($38), higher than 40% 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: 18 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 | Wellmark wellmark medicare advantage facility · percent of total billed charges · bothfrom % of charges | $11.88 | $9.98 | $1.19 – $19.80 |
| 2 | Aetna aetna medicare advantage facility · percent of total billed charges · bothfrom % of charges | $12.00 | $10.08 | $1.20 – $20.00 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $12.72 | $10.68 | $1.27 – $21.20 |
| 4 | Oscar oscar facility · percent of total billed charges · bothfrom % of charges | $17.64 | $14.82 | $1.76 – $29.40 |
| 5 | Ambetter ambetter marketplace facility · percent of total billed charges · bothfrom % of charges | $20.16 | $16.94 | $2.02 – $33.60 |
| 6 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $20.76 | $17.44 | $2.08 – $34.60 |
| 7 | Molina molina medicaid facility · percent of total billed charges · bothfrom % of charges | $20.80 | $17.47 | $2.08 – $34.67 |
| 8 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $28.35 | $23.82 | $2.84 – $47.25 |
| 9 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $28.35 | $23.82 | $2.84 – $47.25 |
| 10 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $28.35 | $23.82 | $2.84 – $47.25 |
| 11 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $29.10 | $24.44 | $2.91 – $48.50 |
| 12 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $29.10 | $24.44 | $2.91 – $48.50 |
| 13 | Anthem wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 14 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 15 | Carefirst wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 16 | Excellus wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 17 | Highmark wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 18 | Kaiser wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 19 | Premera wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 20 | Regence wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 21 | Wellmark wellmark hmo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
| 22 | Wellmark wellmark ppo facility · fee schedule · both | $75.00 | $75.00 | $75.00 – $75.00 |
Last updated: Mar 31, 2026
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