Dextran 75 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

Dextran 75 infusion

Payers reporting HCPCS J7110

Payer pricing summary

Low

Average

$78

Median

$47

High

$395

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +10 other terms	182	$27	$44	$32	72%	—	$13 – $124
2	Aetna fee schedule · outpatient · +12 other terms	113	$15	$20	$40	201%	—	$0 – $533
3	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	73	$16	$53	$74	138%	—	$0 – $341
4	Humana fee schedule · outpatient · +10 other terms	71	$51	$78	$50	64%	—	$12 – $141
5	Anthem fee schedule · outpatient · +8 other terms	35	$0	$3	$32	977%	—	$0 – $352
6	UnitedHealthcare fee schedule · both · +14 other terms	33	$15	$27	$38	138%	—	$13 – $167
7	Caresource facility · case rate · outpatient · +1 other terms	15	$9	$10	$2	23%	—	$6 – $15
8	Molina facility · case rate · outpatient · +3 other terms	15	$9	$10	$2	23%	—	$6 – $15
9	Aetna Better Health fee schedule · outpatient · +2 other terms	13	$12	$13	$2	12%	—	$12 – $15
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$18	$14	$9	65%	—	$1 – $23
11	Highmark fee schedule · outpatient · +4 other terms	12	$14	$14	$0	2%	—	$13 – $15
12	Optum facility · case rate · outpatient · +4 other terms	11	$8	$9	$2	22%	—	$7 – $13
13	Medica fee schedule · outpatient · +5 other terms	10	$29	$30	$7	25%	—	$18 – $38
14	Ucare fee schedule · both	9	$14	$14	$0	3%	—	$14 – $15
15	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	8	$95	$92	$35	38%	—	$45 – $149
16	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges	7	$85	$84	$30	35%	—	$45 – $131
17	Carefirst percent of total billed charges · outpatientfrom % of charges · +2 other terms	7	$85	$84	$30	35%	—	$45 – $131
18	Cigna Healthspring percent of total billed charges · outpatientfrom % of charges	7	$85	$84	$30	35%	—	$45 – $131
19	Magellan percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$85	$84	$30	35%	—	$45 – $131
20	Bcbs La fee schedule · outpatient · +1 other terms	6	$16	$16	—	—	—	$16 – $16
21	Clover facility · other · outpatient	5	$144	$165	$43	26%	—	$144 – $251
22	Tricare facility · fee schedule · outpatient · +1 other terms	5	$144	$165	$43	26%	—	$144 – $251
23	First Health facility · fee schedule · outpatient · +5 other terms	4	$36	$36	—	—	—	$36 – $36
24	Oscar facility · other · outpatient	4	$144	$171	$46	27%	—	$144 – $251
25	Bcbs Id facility · fee schedule · outpatient	3	$19	$15	$6	41%	—	$8 – $22

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