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 0.9% IV BOLUS
Sandwich, IL
See all hospitals reporting RC 258 →Price type
Northwestern Medicine Valley West Hospital’s median price of $161 is 326% above the median hospital's median price ($38), higher than 91% 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, 23 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 | Blue Cross Blue Shield vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $27.57 | $24.33 | $5.49 – $61.62 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $27.57 | $24.33 | $5.49 – $61.62 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $75.91 | $67.02 | $1.62 – $169.67 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $75.91 | $67.35 | $1.62 – $169.67 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $101.47 | $89.60 | $2.16 – $226.82 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $139.03 | $122.44 | $2.96 – $310.76 |
| 7 | Cigna vwh cigna alternative percent of total billed charges · outpatientfrom % of charges | $180.97 | $161.43 | $3.85 – $299.66 |
| 8 | Cigna vwh cigna broad percent of total billed charges · outpatientfrom % of charges | $192.96 | $172.12 | $4.11 – $319.50 |
| 9 | UnitedHealthcare vwh uhc core percent of total billed charges · outpatientfrom % of charges | $200.55 | $177.08 | $4.27 – $448.29 |
| 10 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $223.32 | $196.67 | $4.75 – $499.19 |
| 11 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $239.79 | $207.86 | $4.79 – $539.37 |
| 12 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $241.30 | $217.03 | $5.70 – $539.37 |
| 13 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $251.69 | $220.52 | $5.36 – $562.59 |
| 14 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $260.27 | $230.39 | $5.54 – $581.79 |
| 15 | UnitedHealthcare vwh uhc hmo/ppo percent of total billed charges · outpatientfrom % of charges | $267.27 | $237.15 | $5.69 – $597.42 |
| 16 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $319.60 | $281.46 | $6.80 – $714.40 |
| 17 | Aetna vwh aetna percent of total billed charges · outpatientfrom % of charges | $261.27 | $283.97 | $5.56 – $584.02 |
| 18 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $325.59 | $285.68 | $6.93 – $729.58 |
| 19 | Aetna vwh aetna asa percent of total billed charges · outpatientfrom % of charges | $276.85 | $300.90 | $5.89 – $618.85 |
| 20 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $349.56 | $307.85 | $7.44 – $781.38 |
| 21 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $399.50 | $351.83 | $8.50 – $893.00 |
| 22 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $399.50 | $351.83 | $8.50 – $893.00 |
| 23 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $399.50 | $351.83 | $8.50 – $893.00 |
Last updated: Apr 1, 2026
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