Dextran 40 infusion, 500 mL

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 10% 1000ML INJ/500ML APC

Payers reporting HCPCS J7100

Payer pricing summary

Low

Average

$307

Median

$243

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	428	$140	$352	$347	99%	—	$0 – $1.5k
2	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	242	$80	$109	$110	101%	—	$0 – $1.6k
3	Cigna fee schedule · outpatient · +19 other terms	237	$87	$176	$149	85%	—	$1 – $581
4	Aetna fee schedule · outpatient · +23 other terms	162	$88	$108	$211	196%	—	$1 – $4.0k
5	Humana fee schedule · outpatient · +16 other terms	101	$70	$102	$77	75%	—	$0 – $375
6	Anthem fee schedule · outpatient · +18 other terms	73	$47	$64	$70	109%	—	$16 – $541
7	MultiPlan fee schedule · outpatient · +14 other terms	69	$99	$128	$105	82%	—	$0 – $375
8	Kaiser fee schedule · both · +13 other terms	43	$121	$111	$31	28%	—	$29 – $166
9	Bcbs Tx fee schedule · outpatient · +4 other terms	30	$115	$104	$35	33%	—	$43 – $181
10	Medica fee schedule · outpatient · +13 other terms	30	$75	$71	$45	63%	—	$0 – $198
11	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$163	$145	$23	16%	—	$113 – $176
12	First Health fee schedule · inpatient · +12 other terms	22	$87	$106	$61	57%	—	$12 – $298
13	Phcs fee schedule · inpatient · +7 other terms	21	$147	$143	$98	68%	—	$17 – $428
14	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	18	$123	$228	$193	85%	—	$2 – $519
15	Molina facility · case rate · outpatient · +16 other terms	16	$9	$13	$19	145%	—	$6 – $115
16	Wellmark fee schedule · outpatient · +10 other terms	16	$43	$42	$1	3%	—	$39 – $43
17	Caresource facility · case rate · outpatient · +11 other terms	15	$9	$10	$2	22%	—	$6 – $15
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	15	$482	$619	$286	46%	—	$166 – $1.1k
19	Aetna Better Health fee schedule · outpatient · +8 other terms	14	$39	$47	$15	32%	—	$27 – $71
20	Bcbs La fee schedule · outpatient · +2 other terms	14	$42	$39	$6	15%	—	$29 – $46
21	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$21	$20	$11	53%	—	$1 – $44
22	Bcbs Nj fee schedule · outpatient · +5 other terms	12	$39	$39	—	—	—	$39 – $39
23	Highmark fee schedule · outpatient · +10 other terms	12	$48	$49	$4	9%	—	$48 – $76
24	Excellus facility · fee schedule · both · +5 other terms	11	$72	$89	$58	65%	—	$43 – $222
25	Optum fee schedule · outpatient · +12 other terms	11	$64	$76	$92	121%	—	$1 – $465

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