Dextrose 5% and sodium chloride 0.9% IV solution

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEXTROSE 5 % AND 0.45 % SODIUM CHLORIDE INTRAVENOUS SOLUTION

Payers reporting HCPCS J7042

Payer pricing summary

Low

Average

$109

Median

$30

High

$2.9k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +25 other terms	408	$2	$6	$11	194%	100,036–100,360	$1 – $136
2	Florida Blue percent of total billed charges · bothfrom % of charges	1	$10	$10	$2	21%	65,000	$8 – $16
3	Caresource fee schedule · outpatient · +16 other terms	51	$2	$8	$13	167%	62,503	$1 – $55
4	Aetna fee schedule · outpatient · +27 other terms	274	$3	$8	$30	389%	53,009–53,090	$0 – $511
5	UnitedHealthcare fee schedule · outpatient · +31 other terms	481	$2	$6	$16	286%	14,010–14,145	$0 – $203
6	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	307	$4	$42	$86	206%	137–515	$0 – $1.4k
7	Anthem fee schedule · outpatient · +25 other terms	119	$2	$7	$15	219%	34–232	$1 – $104
8	Kaiser fee schedule · both · +16 other terms	50	$2	$80	$476	595%	13–31	$1 – $3.0k
9	Bcbs Al facility · other · outpatient · +3 other terms	5	$166	$132	$154	117%	9–90	$2 – $462
10	Wellmark fee schedule · outpatient · +11 other terms	33	$1	$5	$30	567%	3–30	$1 – $237
11	Molina fee schedule · outpatient · +24 other terms	62	$2	$6	$14	255%	2–20	$1 – $108
12	Bcbs Wy other · both · +1 other terms	1	$82	$82	—	—	1–10	$82 – $82
13	Humana fee schedule · outpatient · +24 other terms	181	$1	$6	$11	181%	—	$0 – $126
14	MultiPlan fee schedule · outpatient · +17 other terms	87	$49	$40	$70	174%	—	$0 – $684
15	Highmark facility · fee schedule · outpatient · +14 other terms	42	$2	$19	$17	88%	—	$1 – $65
16	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	41	$66	$80	$61	77%	—	$2 – $274
17	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	41	$28	$59	$56	94%	—	$13 – $155
18	Medica fee schedule · outpatient · +14 other terms	40	$6	$6	$21	325%	—	$0 – $198
19	First Health fee schedule · outpatient · +18 other terms	35	$40	$27	$33	119%	—	$1 – $189
20	Medicaid facility · fee schedule · outpatient · +9 other terms	34	$2	$8	$12	157%	—	$1 – $56
21	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$20	$16	$6	40%	—	$1 – $28
22	Tricare facility · fee schedule · outpatient · +14 other terms	24	$14	$29	$32	111%	—	$1 – $103
23	WellCare fee schedule · outpatient · +15 other terms	23	$1	$2	$2	78%	—	$1 – $7
24	Regence professional · fee schedule · outpatient · +13 other terms	21	$1	$1	$0	10%	—	$1 – $2
25	Aetna Better Health fee schedule · outpatient · +10 other terms	20	$1	$1	$0	18%	—	$1 – $2

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