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
PRISMASATE BK 0/3.5 DIALYSIS SOLUTION
Hartford, CT
See all hospitals reporting RC 258 →Price type
Mount Sinai Rehabilitation Hospital, Inc’s median price of $122 is 221% above the median hospital's median price ($38), higher than 87% 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: 14 payers, 17 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 aetna whole health facility · percent of total billed charges · bothfrom % of charges | $86.51 | $67.07 | $7.78 – $87.48 |
| 2 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $90.78 | $70.38 | $8.16 – $91.80 |
| 3 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $90.78 | $70.38 | $8.16 – $91.80 |
| 4 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $100.13 | $77.63 | $9.00 – $101.25 |
| 5 | Anthem anthem individual pathway hmo ppo facility · percent of total billed charges · bothfrom % of charges | $103.47 | $80.22 | $9.30 – $104.63 |
| 6 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $108.14 | $83.84 | $9.72 – $109.35 |
| 7 | Anthem anthem bluecare prime facility · percent of total billed charges · bothfrom % of charges | $120.15 | $93.15 | $10.80 – $121.50 |
| 8 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $120.29 | $93.26 | $10.81 – $121.64 |
| 9 | Anthem anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 10 | Blue Cross Blue Shield anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 11 | Carefirst anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 12 | Excellus anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 13 | Highmark anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 14 | Kaiser anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 15 | Premera anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 16 | Regence anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
| 17 | Wellmark anthem facility · percent of total billed charges · bothfrom % of charges | $133.50 | $103.50 | $12.00 – $135.00 |
Last updated: Mar 31, 2026
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