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
dexAMETHasone 4 mg/mL Soln 5 mL VIAL
Ulm, MN
See all hospitals reporting HCPCS J1100 →Price type
Allina Health Systems’s median price of $19 is 430% above the median hospital's median price ($4), higher than 82% of the 2,382 hospitals reporting HCPCS J1100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0.09 | $0.09 | $0.09 – $0.09 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $0.10 | $0.10 | $0.10 – $0.10 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $0.12 | $0.12 | $0.12 – $0.12 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $0.13 | $0.13 | $0.13 – $0.13 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $0.14 | $0.14 | $0.14 – $0.14 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $8.05 | $6.49 | $0.62 – $11.68 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $12.73 | $10.26 | $0.98 – $18.46 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $17.52 | $14.13 | $1.35 – $25.42 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $17.78 | $14.34 | $1.37 – $25.80 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $18.01 | $14.52 | $1.39 – $26.13 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $18.61 | $15.01 | $1.44 – $27.00 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $24.52 | $19.77 | $1.89 – $35.57 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $24.76 | $19.97 | $1.91 – $35.93 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $26.49 | $21.36 | $2.04 – $38.43 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $26.75 | $21.57 | $2.06 – $38.81 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $28.01 | $22.59 | $2.16 – $40.64 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $32.01 | $25.82 | $2.46 – $46.45 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $32.72 | $26.39 | $2.52 – $47.48 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $33.61 | $27.11 | $2.59 – $48.77 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $33.61 | $27.11 | $2.59 – $48.77 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $33.61 | $27.11 | $2.59 – $48.77 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $33.84 | $27.29 | $2.61 – $49.11 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $34.18 | $27.57 | $2.63 – $49.60 |
Last updated: Jun 16, 2026
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