Dextran 40 infusion, 500 mL at Lee's Summit Medical Center

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.

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Generated: October 20, 2026

Original text from hospital filings

DEXTRAN 40 500 ML

Lee's Summit, MO

See all hospitals reporting HCPCS J7100 →

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Pricing by billing methodology

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How this price compares nationally

Lee's Summit Medical Center’s median price of $72 is 27% below the median hospital's median price ($99), higher than 34% of the 1,385 hospitals reporting HCPCS J7100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7100 at Lee's Summit Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 17 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	Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges	$41	$41	—	—	—	$41 – $41
2	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
3	Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
4	Blue Cross Blue Shield blue-care(hmo) percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
5	Blue Cross Blue Shield blueaccess percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
6	Blue Cross Blue Shield preferred-careblue(ppo) percent of total billed charges · outpatientfrom % of charges	$54	$54	—	—	—	$54 – $54
7	UnitedHealthcare momgmcd fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
8	UnitedHealthcare ksmgmcd fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
9	Aetna Better Health mcd fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
10	Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
11	Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
12	Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
13	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
14	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$81	$81	—	—	—	$81 – $81
15	MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	—	$133 – $133
16	MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
17	UnitedHealthcare allpayerappendix fee schedule · outpatient	$629	$629	—	—	—	$629 – $629

Last updated: Mar 1, 2026

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