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 INJECTION SOLUTION
Jacksonville, TX
See all hospitals reporting HCPCS J1100 →Price type
Jacksonville Hospital, LLC’s median price of $12 is 238% above the median hospital's median price ($4), higher than 73% 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: 6 payers, 12 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 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $13.72 | $13.72 | $2.57 – $24.86 |
| 2 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $13.72 | $13.72 | $2.57 – $24.86 |
| 3 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $13.72 | $13.72 | $2.57 – $24.86 |
| 4 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $14.22 | $14.22 | $2.67 – $25.76 |
| 5 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $14.22 | $14.22 | $2.67 – $25.76 |
| 6 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $14.22 | $14.22 | $2.67 – $25.76 |
| 7 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $27.16 | $27.16 | $5.09 – $49.23 |
| 8 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $27.16 | $27.16 | $5.09 – $49.23 |
| 9 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $30.62 | $30.62 | $5.74 – $55.49 |
| 10 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $35.12 | $35.12 | $6.59 – $63.65 |
| 11 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $35.12 | $35.12 | $6.59 – $63.65 |
| 12 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $35.12 | $35.12 | $6.59 – $63.65 |
Last updated: Feb 12, 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.