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
CEFTRIAXONE SODIUM-DEXTROSE 1-3.74 GM-%(50ML) IV SOLR
Falls, MT
See all hospitals reporting HCPCS J0696 →Price type
Benefis Hospitals Inc’s median price of $5 is 33% below the median hospital's median price ($8), higher than 42% of the 2,430 hospitals reporting HCPCS J0696. 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, 20 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 | Cigna bhs hb allegiance fee schedule · outpatient | $3 | $6 | $9 | 152% | — | $1 – $27 |
| 2 | Healthpartners bhs hb allegiance fee schedule · outpatient | $3 | $6 | $9 | 152% | — | $1 – $27 |
| 3 | Kaiser bhs hb allegiance fee schedule · outpatient | $3 | $6 | $9 | 152% | — | $1 – $27 |
| 4 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $3 | $6 | $9 | 152% | — | $1 – $27 |
| 5 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $9 | $20 | $30 | 152% | — | $2 – $91 |
| 6 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $5 | $22 | $31 | 138% | — | $1 – $83 |
| 7 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $5 | $26 | $36 | 138% | — | $1 – $96 |
| 8 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $12 | $26 | $40 | 152% | — | $3 – $121 |
| 9 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $6 | $27 | $38 | 138% | — | $1 – $102 |
| 10 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $6 | $28 | $39 | 138% | — | $1 – $104 |
| 11 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $6 | $29 | $40 | 138% | — | $1 – $108 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges | $6 | $29 | $40 | 138% | — | $1 – $108 |
| 13 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges | $6 | $30 | $41 | 138% | — | $1 – $110 |
| 14 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $6 | $31 | $43 | 138% | — | $1 – $115 |
| 15 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $6 | $31 | $43 | 138% | — | $1 – $115 |
| 16 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $6 | $31 | $43 | 138% | — | $1 – $115 |
| 17 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $6 | $31 | $43 | 138% | — | $1 – $115 |
| 18 | Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges | $7 | $32 | $44 | 138% | 2–20 | $1 – $117 |
| 19 | First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges | $7 | $32 | $44 | 138% | — | $1 – $117 |
| 20 | UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges | $7 | $33 | $45 | 138% | 41–50 | $1 – $121 |
Last updated: Mar 26, 2026
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