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
DEXAMETHASONE SODIUM PHOSPHATE 4 MG/ML IJ SOLN (WRAPPER)
Mount Vernon, IL
See all hospitals reporting HCPCS J1100 →Price type
Deaconess Illinois Crossroads Inc’s median price of $13 is 258% above the median hospital's median price ($4), higher than 75% of the 2,382 hospitals reporting HCPCS J1100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 33 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 | Bcbs Il blue choice ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Bcbs Il hmo/ppo professional · fee schedule · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 4 | Aetna Better Health medicare mmp professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 5 | Bcbs Il medicare advantage professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 6 | Humana dual medicare/medicaid professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 7 | Humana medicare advantage professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 8 | Molina dual medicare/medicaid professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 9 | UnitedHealthcare commercial professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 11 | WellCare dual medicare/medicaid professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 12 | WellCare medicare advantage professional · fee schedule · both | $0.11 | $0.11 | $0.11 – $0.11 |
| 13 | Aetna Better Health managed medicaid professional · fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 14 | Bcbs Il managed medicaid professional · fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 15 | Molina managed medicaid professional · fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 16 | WellCare managed medicaid professional · fee schedule · both | $0.12 | $0.12 | $0.12 – $0.12 |
| 17 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $1.95 | $1.95 | $1.95 – $1.95 |
| 18 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.21 | $3.11 | $1.58 – $5.67 |
| 19 | Humana epo/hmo/pos/ppo professional · percent of total billed charges · bothfrom % of charges | $3.90 | $3.90 | $3.90 – $3.90 |
| 20 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $3.95 | $3.95 | $3.95 – $3.95 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.17 | $11.53 | $5.84 – $21.01 |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.17 | $11.53 | $5.84 – $21.01 |
| 23 | Bcbs Il blue choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.18 | $12.96 | $6.56 – $23.60 |
| 24 | Bcbs Il hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $9.98 | $14.08 | $7.13 – $25.65 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $12.18 | $17.19 | $8.70 – $31.32 |
Last updated: Feb 3, 2026
See Dexamethasone sodium phosphate injection, 4 mg per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.