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%/NS 5DL INJ
Phoenix, AZ
See all hospitals reporting HCPCS J7100 →Price type
Dignity Health’s median price of $66 is 33% below the median hospital's median price ($99), higher than 31% of the 1,385 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: 7 payers, 16 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 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Cigna commercial|exchange fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Optum commercial|optumhealth fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Cigna commercial|localplus surefit fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 8 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 9 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 10 | Cigna commercial|lifesource fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 11 | Cigna commercial|all other plans fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 12 | First Health commercial|all plans fee schedule · inpatient | $85 | $85 | — | — | — | $85 – $85 |
| 13 | First Health commercial|all plans fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 14 | MultiPlan commercial|all plans fee schedule · inpatient | $96 | $96 | — | — | — | $96 – $96 |
| 15 | MultiPlan commercial|all plans fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 16 | Aetna commercial|all plans fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
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.