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
D5W/SOD CHL.9% 500ML
Tucson, AZ
See all hospitals reporting RC 258 →Price type
Northwest Hospital LLC’s median price of $11 is 72% below the median hospital's median price ($38), higher than 17% 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: 9 payers, 25 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 | Medicaid az medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.06 | $6.45 | $3.06 – $28.44 |
| 2 | Magellan magellan medicaid az facility · percent of total billed charges · outpatientfrom % of charges | $3.22 | $6.77 | $3.21 – $29.86 |
| 3 | Aetna aetna asbait facility · percent of total billed charges · inpatientfrom % of charges | $3.82 | $7.40 | $1.91 – $35.53 |
| 4 | Aetna aetna asbait facility · percent of total billed charges · outpatientfrom % of charges | $3.82 | $7.40 | $1.91 – $35.53 |
| 5 | Medicaid az medicaid facility · other · outpatient | $1.93 | $7.95 | $0.64 – $60.57 |
| 6 | Magellan magellan medicaid az facility · other · outpatient | $2.03 | $8.35 | $0.67 – $63.60 |
| 7 | UnitedHealthcare uhc hix facility · percent of total billed charges · outpatientfrom % of charges | $5.08 | $9.83 | $2.54 – $47.17 |
| 8 | Cigna cigna localflex facility · other · outpatient | $6.12 | $11.84 | $3.06 – $56.85 |
| 9 | Cigna cigna localplus facility · other · outpatient | $6.12 | $11.84 | $3.06 – $56.85 |
| 10 | UnitedHealthcare uhc navigate facility · percent of total billed charges · outpatientfrom % of charges | $6.12 | $11.84 | $3.06 – $56.85 |
| 11 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $6.33 | $12.25 | $3.16 – $58.82 |
| 12 | Cigna cigna hmo facility · other · outpatient | $6.37 | $12.34 | $3.19 – $59.21 |
| 13 | Devoted node devoted health mcr adv facility · other · outpatient | $6.37 | $12.34 | $3.19 – $59.21 |
| 14 | Aetna aetna qhp facility · percent of total billed charges · outpatientfrom % of charges | $6.06 | $12.75 | $6.04 – $56.25 |
| 15 | Aetna aetna performance facility · percent of total billed charges · outpatientfrom % of charges | $6.77 | $14.25 | $6.75 – $62.85 |
| 16 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $7.12 | $15.00 | $7.11 – $66.16 |
| 17 | Aetna aetna ihs facility · percent of total billed charges · inpatientfrom % of charges | $9.56 | $18.50 | $4.78 – $88.82 |
| 18 | Aetna aetna ihs facility · percent of total billed charges · outpatientfrom % of charges | $9.56 | $18.50 | $4.78 – $88.82 |
| 19 | First Health first health coventry facility · percent of total billed charges · inpatientfrom % of charges | $11.15 | $21.59 | $5.58 – $103.62 |
| 20 | First Health first health coventry facility · percent of total billed charges · outpatientfrom % of charges | $11.15 | $21.59 | $5.58 – $103.62 |
| 21 | Blue Cross Blue Shield bcbs pimaconnect facility · case rate · outpatient | $21.24 | $32.88 | $10.62 – $73.28 |
| 22 | Blue Cross Blue Shield bcbs az ppo hmo nbr facility · case rate · outpatient | $21.24 | $33.43 | $10.62 – $77.14 |
| 23 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $17.63 | $34.13 | $8.81 – $163.83 |
| 24 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $17.63 | $34.13 | $8.81 – $163.83 |
| 25 | Blue Cross Blue Shield bcbs az work comp facility · case rate · outpatient | $21.24 | $36.25 | $10.62 – $104.42 |
Last updated: Apr 1, 2026
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