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
DEXTRAN 40 10%/D5 5DL INJ
Folsom, CA
See all hospitals reporting HCPCS J7100 →Price type
Dignity Health’s median price of $84 is 15% below the median hospital's median price ($99), higher than 41% of the 1,381 hospitals reporting HCPCS J7100. 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, 24 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser medicaid|all plans fee schedule · outpatient | $48 | $48 | $3 | 6% | — | $45 – $51 |
| 2 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Blue Cross Blue Shield commercial|ppo tandem fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 9 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Anthem commercial|connection epo fee schedule · outpatient | $84 | $84 | $5 | 6% | — | $79 – $89 |
| 11 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 12 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 13 | First Health commercial|all plans fee schedule · inpatient | $88 | $88 | $5 | 6% | — | $83 – $93 |
| 14 | First Health commercial|all plans fee schedule · outpatient | $88 | $88 | $5 | 6% | — | $83 – $93 |
| 15 | Kaiser commercial|all plans fee schedule · outpatient | $92 | $92 | $6 | 6% | — | $87 – $98 |
| 16 | MultiPlan commercial|all plans fee schedule · inpatient | $96 | $96 | $6 | 6% | — | $90 – $102 |
| 17 | MultiPlan commercial|all plans fee schedule · outpatient | $96 | $96 | $6 | 6% | — | $90 – $102 |
| 18 | Cigna commercial|localplus fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 19 | Anthem commercial|all other plans fee schedule · outpatient | $105 | $105 | $6 | 6% | — | $99 – $112 |
| 20 | Aetna commercial|all other plans fee schedule · outpatient | $111 | $111 | $1 | 1% | — | $110 – $111 |
| 21 | Aetna commercial|hmo fee schedule · outpatient | $111 | $111 | $1 | 1% | — | $110 – $111 |
| 22 | Aetna commercial|ppo fee schedule · outpatient | $111 | $111 | $1 | 1% | — | $110 – $111 |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $117 | $117 | $7 | 6% | — | $110 – $124 |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
Last updated: Feb 28, 2026
See Dextran 40 infusion, 500 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.