Dextran 40 infusion, 500 mL at AMH Cath Labs LLC

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 40 10 % IN 0.9 % NACL 10 % INTRAVENOUS SOLP [9777]

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $92 is 7% below the median hospital's median price ($99), higher than 46% of the 1,381 hospitals reporting HCPCS J7100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7100 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$15	$15	$0	1%	—	$15 – $15
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$15	$15	$0	1%	—	$15 – $15
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$16	$16	$0	1%	—	$15 – $16
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$16	$16	$0	1%	—	$16 – $16
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$16	$16	$0	1%	—	$16 – $16
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
8	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$57	$57	$1	1%	—	$57 – $58
9	Blue Cross Blue Shield ppo fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$68	$68	$1	1%	—	$68 – $69
11	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$77	$77	$1	1%	—	$76 – $77
12	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$86	$86	$1	1%	—	$85 – $87
13	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$91	$91	$1	1%	—	$90 – $92
14	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$91	$91	$1	1%	—	$90 – $92
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$92	$92	$1	1%	—	$91 – $93
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$116	$116	$1	1%	—	$114 – $117
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$116	$116	$1	1%	—	$115 – $117
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$117	$117	$1	1%	—	$115 – $118
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$117	$117	$1	1%	—	$115 – $118
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$124	$124	$1	1%	—	$123 – $125
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$145	$145	$2	1%	—	$143 – $146
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$145	$145	$2	1%	—	$143 – $146
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$156	$156	$2	1%	—	$155 – $158
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$156	$156	$2	1%	—	$155 – $158
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$247	$247	—	—	—	$247 – $247

Last updated: Apr 21, 2026

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