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 University Hospital - Northeastern Campus’s median price of $4 is 88% below the median hospital's median price ($38), higher than 6% 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: 7 payers, 27 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 coventry facility · percent of total billed charges · outpatientfrom % of charges | $1.28 | $1.96 | $0.17 – $5.82 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.28 | $1.96 | $0.17 – $5.82 |
| 3 | 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 |
| 4 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $2.02 | $3.09 | $0.26 – $9.16 |
| 5 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.32 | $3.55 | $0.30 – $10.52 |
| 6 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.86 | $4.37 | $0.37 – $12.97 |
| 7 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $3.57 | $5.47 | $0.46 – $16.22 |
| 8 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $4.60 | $5.80 | $0.41 – $14.31 |
| 9 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $4.60 | $5.80 | $0.41 – $14.31 |
| 10 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.60 | $5.80 | $0.41 – $14.31 |
| 11 | Bcbs Nj indemnity facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 12 | Bcbs Nj managed care facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 13 | Bcbs Nj ppo facility · fee schedule · outpatient | $0.68 | $7.13 | $0.12 – $20.58 |
| 14 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $5.54 | $8.43 | $0.68 – $23.85 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.65 | $8.66 | $0.73 – $25.66 |
| 16 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $5.65 | $8.66 | $0.73 – $25.66 |
| 17 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $5.65 | $8.66 | $0.73 – $25.66 |
| 18 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.70 | $8.67 | $0.70 – $24.53 |
| 19 | Bcbs Pa hmo/ppo/temple member facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 20 | Bcbs Pa indemnity facility · fee schedule · outpatient | $0.84 | $9.10 | $0.15 – $26.32 |
| 21 | Bcbs Pa indemnity facility · percent of total billed charges · outpatientfrom % of charges | $8.29 | $10.45 | $0.74 – $25.80 |
| 22 | UnitedHealthcare options ppo facility · percent of total billed charges · inpatientfrom % of charges | $7.14 | $10.94 | $0.93 – $32.43 |
| 23 | UnitedHealthcare options ppo facility · percent of total billed charges · outpatientfrom % of charges | $7.14 | $10.94 | $0.93 – $32.43 |
| 24 | Bcbs Pa hmo/ppo/temple member facility · percent of total billed charges · outpatientfrom % of charges | $10.36 | $13.06 | $0.92 – $32.24 |
| 25 | Highmark medicare advantage facility · fee schedule · outpatient | $21.31 | $14.63 | $1.26 – $21.31 |
Last updated: Apr 13, 2026
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