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
Parenteral 50% dextrose solu
Low
$0
Average
$44
Median
$26
High
$438
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
48 payers; the 90th percentile is 4.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +11 other terms | 181 | $25 | $56 | $53 | 95% | — | $13 – $193 |
| 2 | Aetna fee schedule · outpatient · +10 other terms | 73 | $25 | $31 | $21 | 69% | — | $11 – $147 |
| 3 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 66 | $25 | $22 | $6 | 27% | — | $13 – $33 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +9 other terms | 47 | $38 | $41 | $25 | 60% | — | $0 – $89 |
| 5 | Anthem fee schedule · outpatient · +7 other terms | 38 | $25 | $25 | $0 | 0% | — | $25 – $25 |
| 6 | Cigna fee schedule · outpatient · +11 other terms | 32 | $25 | $29 | $11 | 36% | — | $25 – $74 |
| 7 | Molina case rate · outpatient · +6 other terms | 29 | $25 | $28 | $5 | 16% | — | $25 – $36 |
| 8 | Kaiser fee schedule · outpatient · +6 other terms | 24 | $25 | $25 | — | — | — | $25 – $25 |
| 9 | Devoted fee schedule · outpatient · +3 other terms | 19 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Medicare fee schedule · outpatient | 18 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Caresource fee schedule · outpatient · +3 other terms | 17 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 12 | Highmark facility · fee schedule · outpatient · +5 other terms | 15 | $79 | $86 | $48 | 56% | — | $26 – $207 |
| 13 | WellCare case rate · outpatient · +4 other terms | 14 | $25 | $26 | $1 | 4% | — | $25 – $28 |
| 14 | Wellmark fee schedule · both · +1 other terms | 13 | $25 | $25 | $0 | 0% | — | $24 – $25 |
| 15 | Aetna Better Health fee schedule · outpatient · +2 other terms | 12 | $20 | $22 | $2 | 10% | — | $20 – $25 |
| 16 | Bcbs Mn fee schedule · outpatient · +4 other terms | 12 | $22 | $22 | $6 | 26% | — | $11 – $27 |
| 17 | Regence fee schedule · outpatient · +4 other terms | 12 | $28 | $29 | $9 | 31% | — | $19 – $73 |
| 18 | Ambetter case rate · outpatient · +6 other terms | 11 | $36 | $37 | $1 | 4% | — | $36 – $39 |
| 19 | Medica fee schedule · outpatient · +5 other terms | 10 | $49 | $49 | $12 | 25% | — | $30 – $63 |
| 20 | Optum fee schedule · outpatient · +1 other terms | 10 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 9 | $26 | $26 | — | — | — | $26 – $26 |
| 22 | Medical Mutual facility · fee schedule · outpatient | 9 | $25 | $31 | $7 | 21% | — | $25 – $40 |
| 23 | Premera fee schedule · outpatient · +1 other terms | 9 | $44 | $41 | $7 | 17% | — | $30 – $53 |
| 24 | Oscar case rate · outpatient · +1 other terms | 8 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 5 | $12 | $12 | $1 | 10% | — | $10 – $14 |
← Hospitals reporting HCPCS B4164 · Snapshot 20261112T124536Z-e251e855