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 10 % IV BOLUS
Philadelphia, PA
See all hospitals reporting RC 258 →Price type
Nazareth Hospital’s median price of $60 is 59% above the median hospital's median price ($38), higher than 65% 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: 12 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 aetna better health medicaid facility · percent of total billed charges · bothfrom % of charges | $15.75 | $22.93 | $4.20 – $47.25 |
| 2 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $22.77 | $33.14 | $6.07 – $68.31 |
| 3 | UnitedHealthcare united healthcare options facility · percent of total billed charges · bothfrom % of charges | $30.69 | $44.67 | $8.18 – $92.07 |
| 4 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $36.90 | $53.71 | $9.84 – $110.70 |
| 5 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $41.85 | $60.92 | $11.16 – $125.55 |
| 6 | Anthem independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 7 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 8 | Blue Cross Blue Shield independence blue cross trad indemnity facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 9 | Carefirst independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 10 | Excellus independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 11 | Highmark independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 12 | Premera independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 13 | Regence independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 14 | Wellmark independence blue cross hmo/ppo facility · fee schedule · both | $70.00 | $70.00 | $70.00 – $70.00 |
| 15 | Anthem independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 16 | Blue Cross Blue Shield independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 17 | Blue Cross Blue Shield independence blue cross trad indemnity facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 18 | Carefirst independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 19 | Excellus independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 20 | Highmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 21 | Premera independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 22 | Regence independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 23 | Wellmark independence blue cross hmo/ppo facility · percent of total billed charges · bothfrom % of charges | $60.00 | $74.40 | $12.00 – $135.00 |
| 24 | Cigna cigna exchange facility · per diem · both | $473.55 | $473.55 | $473.55 – $473.55 |
Last updated: Mar 31, 2026
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