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
Dextrose Inj 5%
Ontario, OH
See all hospitals reporting HCPCS C2617 →Price type
Avita Ontario Hospital’s median price of $296 is about the same as the median hospital's median price ($294), higher than 50% of the 1,613 hospitals reporting HCPCS C2617. 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, 27 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 | Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $36.52 | $38.31 | $33.20 – $45.22 |
| 2 | Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges | $161.79 | $135.47 | $36.75 – $207.87 |
| 3 | Molina medicare_outpatient percent of total billed charges · bothfrom % of charges | $142.10 | $153.84 | $22.97 – $296.45 |
| 4 | UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges | $142.10 | $153.84 | $22.97 – $296.45 |
| 5 | Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges | $144.94 | $156.92 | $23.43 – $302.38 |
| 6 | Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $191.18 | $160.08 | $43.42 – $245.63 |
| 7 | Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges | $192.75 | $160.28 | $40.44 – $247.64 |
| 8 | Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges | $209.51 | $175.42 | $47.58 – $269.18 |
| 9 | Aetna medicare_outpatient percent of total billed charges · bothfrom % of charges | $142.10 | $184.76 | $115.73 – $296.45 |
| 10 | Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges | $142.10 | $184.76 | $115.73 – $296.45 |
| 11 | Humana medicare_outpatient percent of total billed charges · bothfrom % of charges | $142.10 | $184.76 | $115.73 – $296.45 |
| 12 | Cigna commercial percent of total billed charges · bothfrom % of charges | $246.16 | $206.11 | $55.91 – $316.27 |
| 13 | Aetna all_commercial percent of total billed charges · bothfrom % of charges | $268.60 | $228.49 | $71.77 – $345.10 |
| 14 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $268.60 | $228.49 | $71.77 – $345.10 |
| 15 | Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges | $339.09 | $231.48 | $16.27 – $339.09 |
| 16 | Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges | $339.09 | $231.48 | $16.27 – $339.09 |
| 17 | UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges | $339.09 | $231.48 | $16.27 – $339.09 |
| 18 | Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges | $349.26 | $238.43 | $16.76 – $349.26 |
| 19 | Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges | $366.72 | $250.35 | $17.60 – $366.72 |
| 20 | Anthem medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 21 | Humana medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 22 | Molina medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 23 | UnitedHealthcare medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 24 | Aetna medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
| 25 | Medical Mutual medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
Last updated: Mar 23, 2026
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