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 5 % IN WATER (D5W) INTRAVENOUS SOLUTION
Byron, GA
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The Medical Center of Peach County Inc’s median price of $20 is 47% below the median hospital's median price ($38), higher than 29% 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: 10 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 | Anthem hmo/pos fee schedule · outpatient | $2.52 | $3.44 | $0.20 – $64.14 |
| 2 | Anthem ppo fee schedule · outpatient | $2.52 | $3.44 | $0.20 – $64.14 |
| 3 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.03 | $38.84 | $0.11 – $665.09 |
| 4 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.03 | $38.84 | $0.11 – $665.09 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.03 | $38.84 | $0.11 – $665.09 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.03 | $38.84 | $0.11 – $665.09 |
| 7 | Caresource medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.25 | $39.62 | $0.11 – $678.39 |
| 8 | Clover medicare advantage percent of total billed charges · outpatientfrom % of charges | $11.25 | $39.62 | $0.11 – $678.39 |
| 9 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $15.75 | $55.49 | $0.15 – $950.13 |
| 10 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $26.78 | $94.33 | $0.26 – $1,615 |
| 11 | Aetna hmo/pos percent of total billed charges · outpatientfrom % of charges | $30.98 | $109.13 | $0.30 – $1,869 |
| 12 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $30.98 | $109.13 | $0.30 – $1,869 |
| 13 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $33.08 | $116.52 | $0.32 – $1,995 |
| 14 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $34.13 | $120.22 | $0.33 – $2,059 |
| 15 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $34.13 | $120.22 | $0.33 – $2,059 |
| 16 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $38.22 | $134.65 | $0.36 – $2,306 |
| 17 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $38.22 | $134.65 | $0.36 – $2,306 |
| 18 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $42.00 | $147.97 | $0.40 – $2,534 |
| 19 | MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges | $42.00 | $147.97 | $0.40 – $2,534 |
| 20 | Humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $44.63 | $157.21 | $0.43 – $2,692 |
| 21 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $44.63 | $157.21 | $0.43 – $2,692 |
| 22 | Humana ppo percent of total billed charges · inpatientfrom % of charges | $44.63 | $157.21 | $0.43 – $2,692 |
| 23 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $44.63 | $157.21 | $0.43 – $2,692 |
| 24 | Beechstreet commercial percent of total billed charges · inpatientfrom % of charges | $48.83 | $172.01 | $0.47 – $2,945 |
| 25 | Beechstreet commercial percent of total billed charges · outpatientfrom % of charges | $48.83 | $172.01 | $0.47 – $2,945 |
Last updated: Nov 19, 2025
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