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
DOPAMINE 400 MG IN DEXTROSE 5% 250 ML INFUSION PREMIX (PEDS)
ST, LA
See all hospitals reporting HCPCS J1265 →Price type
Kaplan General Hospital, Inc’s median price of $113 is 1013% above the median hospital's median price ($10), higher than 95% of the 2,245 hospitals reporting HCPCS J1265. 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, 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 | Bcbs La all payor fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Bcbs La all payor other · outpatient | $94 | $94 | $18 | 19% | — | $76 – $114 |
| 3 | Optum all payor other · outpatient | $94 | $94 | $18 | 19% | — | $76 – $114 |
| 4 | WellCare all payor other · outpatient | $94 | $94 | $18 | 19% | — | $76 – $114 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $109 | $110 | $21 | 19% | — | $88 – $132 |
| 6 | Aetna all payor other · outpatient | $111 | $115 | $31 | 26% | — | $76 – $164 |
| 7 | Humana all payor other · outpatient | $122 | $129 | $43 | 33% | — | $76 – $196 |
| 8 | UnitedHealthcare all payor other · outpatient | $122 | $129 | $43 | 33% | — | $76 – $196 |
| 9 | Aetna all payor other · inpatient | $135 | $136 | $26 | 19% | — | $109 – $164 |
| 10 | Cigna all payor other · outpatient | $145 | $147 | $28 | 19% | — | $118 – $177 |
| 11 | Aetna Better Health all payor other · outpatient | $162 | $163 | $31 | 19% | — | $131 – $196 |
| 12 | Amerihealth Caritas all payor other · outpatient | $162 | $163 | $31 | 19% | — | $131 – $196 |
Last updated: Apr 1, 2026
See Dopamine in dextrose IV solution pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.