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%/WATER IVS
City, OK
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Mercy Rehabilitation Hospital Oklahoma City South, LLC’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: 8 payers, 15 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 | Healthcare Highways healthcare highways percent of total billed charges · inpatientfrom % of charges | $17.67 | $120.53 | $3.75 – $7,561 |
| 2 | Aetna aetna commercial (gatekeeper and non-gatekeeper) per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 3 | Aetna aetna government programs case rate · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 4 | Bcbs Ok blue advantage per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 5 | Bcbs Ok blue cross blue shield of oklahoma per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 6 | Bcbs Ok blue cross blue shield of oklahoma (preferred) per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 7 | Bcbs Ok blue lincs per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 8 | Blue Cross Blue Shield blue cross blue shield mcr case rate · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 9 | Cigna cigna per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 10 | Cigna cigna - new business discount per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 11 | Humana humana choice care case rate · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 12 | Humana tricare (humana military services) humana is the vendor case rate · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 13 | Medica medica per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 14 | UnitedHealthcare united healthcare per diem · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
| 15 | UnitedHealthcare united healthcare mcr case rate · inpatient | $23.55 | $160.70 | $5.00 – $10,081 |
Last updated: Mar 16, 2026
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