5% dextrose in lactated Ringer's 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 LACTATED RINGERS INTRAVENOUS SOLUTION

Payers reporting HCPCS J7121

Payer pricing summary

Low

Average

$83

Median

$36

High

$914

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +22 other terms	254	$15	$20	$16	82%	32–320	$2 – $112
2	Premera fee schedule · both · +9 other terms	2	$7.9k	$7.9k	$7.0k	89%	13–31	$910 – $14.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	230	$11	$21	$63	299%	9–90	$0 – $1.3k
4	Anthem fee schedule · outpatient · +21 other terms	90	$9	$4	$7	165%	6–60	$1 – $75
5	Medica fee schedule · outpatient · +13 other terms	37	$13	$23	$37	164%	3–30	$0 – $198
6	UnitedHealthcare fee schedule · outpatient · +24 other terms	420	$10	$12	$15	119%	2–20	$0 – $203
7	Wellmark fee schedule · outpatient · +12 other terms	29	$8	$16	$41	258%	2–20	$8 – $237
8	Molina fee schedule · both · +20 other terms	22	$14	$14	$3	23%	2–20	$8 – $22
9	Aetna fee schedule · outpatient · +25 other terms	153	$16	$17	$42	251%	—	$1 – $611
10	Humana fee schedule · outpatient · +18 other terms	84	$16	$16	$20	125%	—	$0 – $126
11	MultiPlan fee schedule · inpatient · +16 other terms	50	$16	$33	$52	159%	—	$0 – $203
12	Medcost percent of total billed charges · bothfrom % of charges · +6 other terms	38	$32	$45	$46	101%	—	$4 – $155
13	Medicaid facility · fee schedule · outpatient · +8 other terms	29	$3	$13	$26	203%	—	$1 – $149
14	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$29	$26	$4	17%	—	$19 – $34
15	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	26	$35	$39	$32	82%	—	$6 – $114
16	Bcbs La fee schedule · outpatient · +3 other terms	21	$9	$9	$1	6%	—	$7 – $9
17	Highmark facility · fee schedule · outpatient · +11 other terms	20	$6	$6	$3	52%	—	$2 – $15
18	Phcs fee schedule · inpatient · +11 other terms	19	$147	$28	$49	171%	—	$2 – $203
19	Aetna Better Health other · outpatient · +8 other terms	18	$5	$8	$10	122%	—	$1 – $56
20	Amerihealth Caritas other · outpatient · +8 other terms	18	$5	$8	$10	122%	—	$1 – $56
21	Caresource facility · case rate · outpatient · +13 other terms	15	$9	$10	$2	23%	—	$6 – $15
22	Bcbs Tx fee schedule · outpatient · +3 other terms	13	$17	$19	$5	28%	—	$8 – $28
23	Kaiser fee schedule · outpatient · +15 other terms	13	$61	$82	$76	93%	—	$17 – $267
24	Bcbs Mn fee schedule · outpatient · +9 other terms	12	$5	$5	$2	40%	—	$1 – $8
25	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$8	$8	—	—	—	$8 – $8

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