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
Dopamine/D5W 400 MG/250 ML Bag
Sioux Falls, SD
See all hospitals reporting HCPCS J1265 →Price type
Avera Specialty Hospital’s median price of $1 is 93% below the median hospital's median price ($10), higher than 8% of the 2,245 hospitals reporting HCPCS J1265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Wellmark hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Wellmark ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | UnitedHealthcare com fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $153 | $116 | $54 | 46% | — | $40 – $155 |
| 5 | Medica com fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 6 | Medica ind fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
Last updated: Apr 1, 2026
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