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
D5LR UP TO 1000ML
Dothan, AL
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Triad of Alabama LLC’s median price of $433 is 1044% above the median hospital's median price ($38), higher than 95% 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: 5 payers, 8 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 | Cigna cigna all facility · other · outpatient | $2.18 | $11.08 | $0.65 – $67.89 |
| 2 | UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges | $100.13 | $120.40 | $32.30 – $373.55 |
| 3 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $118.39 | $142.36 | $38.19 – $441.67 |
| 4 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $382.85 | $460.36 | $123.50 – $1,428 |
| 5 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $429.97 | $476.67 | $77.50 – $1,604 |
| 6 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $471.20 | $566.60 | $152.00 – $1,758 |
| 7 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $471.20 | $566.60 | $152.00 – $1,758 |
| 8 | Bcbs Al bcbs al all facility · other · outpatient | $589.00 | $708.25 | $190.00 – $2,197 |
Last updated: Apr 1, 2026
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