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 % IN WATER (D10W) IV INFUSION (HIET ONLY)
Philadelphia, PA
See all hospitals reporting RC 258 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $8 is 78% below the median hospital's median price ($38), higher than 13% 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: 6 payers, 30 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $0.05 | $0.05 | $0.05 – $0.05 |
| 2 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.02 | $3.09 | $0.26 – $9.16 |
| 3 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.46 | $5.31 | $0.45 – $15.74 |
| 4 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $4.29 | $5.41 | $0.38 – $13.35 |
| 5 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $4.29 | $5.41 | $0.38 – $13.35 |
| 6 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.29 | $5.41 | $0.38 – $13.35 |
| 7 | UnitedHealthcare chip facility · percent of total billed charges · outpatientfrom % of charges | $4.43 | $6.74 | $0.55 – $19.08 |
| 8 | UnitedHealthcare community plan facility · percent of total billed charges · outpatientfrom % of charges | $4.43 | $6.74 | $0.55 – $19.08 |
| 9 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 10 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 11 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 12 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $0.73 | $7.86 | $0.13 – $22.73 |
| 13 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $0.77 | $8.28 | $0.14 – $23.93 |
| 14 | Bcbs Pa indemnity facility · fee schedule · outpatient | $0.77 | $8.28 | $0.14 – $23.93 |
| 15 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.73 | $8.78 | $0.75 – $26.04 |
| 16 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $12.78 | $11.30 | $0.75 – $23.85 |
| 17 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $13.14 | $11.62 | $0.77 – $24.53 |
| 18 | UnitedHealthcare vaccn facility · percent of total billed charges · outpatientfrom % of charges | $10.90 | $14.36 | $1.09 – $38.16 |
| 19 | Highmark medicare advantage facility · fee schedule · outpatient | $21.31 | $14.63 | $1.26 – $21.31 |
| 20 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $22.06 | $15.14 | $1.29 – $22.06 |
| 21 | UnitedHealthcare chip facility · fee schedule · outpatient | $22.06 | $15.14 | $1.29 – $22.06 |
| 22 | UnitedHealthcare community plan facility · fee schedule · outpatient | $22.06 | $15.14 | $1.29 – $22.06 |
| 23 | Cigna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $10.50 | $16.09 | $1.36 – $47.70 |
| 24 | Highmark commercial facility · fee schedule · outpatient | $25.57 | $17.55 | $1.51 – $25.57 |
| 25 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $15.83 | $19.95 | $1.41 – $49.25 |
Last updated: Apr 8, 2026
See Pharmacy charge pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.