Dopamine in dextrose IV solution at BSA Hospital

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

DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN

Amarillo, TX

See all hospitals reporting HCPCS J1265 →

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $62 is 509% above the median hospital's median price ($10), higher than 85% of the 2,245 hospitals reporting HCPCS J1265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1265 at BSA Hospital

Negotiated rates from the hospital’s own file: 9 payers, 19 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	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
2	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
3	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
4	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
5	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
6	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
7	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$40	$63	$52	83%	—	$13 – $154
8	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$67	$105	$87	83%	—	$22 – $257
9	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$72	$113	$93	83%	—	$24 – $277
10	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$72	$113	$93	83%	—	$24 – $277
11	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$72	$113	$93	83%	—	$24 – $277
12	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$74	$117	$97	83%	250	$25 – $287
13	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$74	$117	$97	83%	—	$25 – $287
14	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$75	$117	$97	83%	—	$25 – $287
15	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$77	$121	$100	83%	—	$26 – $296
16	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$77	$121	$100	83%	—	$26 – $296
17	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$87	$137	$113	83%	—	$29 – $336
18	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$87	$137	$113	83%	—	$29 – $336
19	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$160	$160	$26	16%	—	$134 – $186

Last updated: Feb 12, 2026

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