Parenteral 50% dextrose solu

Reported by 44 hospitals in the network under the fee schedule methodology.

Filter by billing methodology

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$19

Average

$37

Median

$25

High

$76

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$77	$76	$10	—	$64	$87
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$68	$61	$14	—	$25	$71
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$68	$61	$14	—	$25	$71
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$68	$61	$14	—	$25	$71
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$42	$42	$18	—	$25	$60
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$68	$61	$14	—	$25	$71
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$43	$37	$8	—	$26	$43
8	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$54	$46	$15	—	$25	$60
9	IHC Health Services Inc., DBA Intermountain Health American Fork Hospital	American Fork, UT	$68	$62	$13	—	$25	$71
10	IHC Health Services Inc., DBA Intermountain Health Layton Hospital	Layton, UT	$68	$61	$14	—	$25	$71

Page 1 of 5

Ask Claude or any MCP client for CPT B4164 pricing at a specific hospital — see how to connect.