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
D5W/0.45NS w KCl and MGS04
Low
$6
Average
$17
Median
$17
High
$42
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 1.9× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 28 | $13 | $14 | $7 | 52% | — | $8 – $38 |
| 2 | Anthem facility · case rate · outpatient · +6 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 3 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 4 | Molina facility · case rate · outpatient · +1 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 6 | Aetna fee schedule · both · +4 other terms | 13 | $89 | $89 | $0 | 0% | — | $89 – $91 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Humana facility · other · outpatient | 2 | $23 | $23 | $3 | 15% | — | $19 – $26 |
| 11 | Bcbs Vt professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
← Hospitals reporting HCPCS S5014 · Snapshot 20261113T090226Z-3ce6c0b8