Dextran 40 infusion, 500 mL at Mayo Clinic Arizona

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEXTRAN 40 10 % IN 0.9 % SODIUM CHLORIDE INTRAVENOUS SOLUTION

Phoenix, AZ

See all hospitals reporting HCPCS J7100 →

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How this price compares nationally

Mayo Clinic Arizona’s median price of $1.1k is 992% above the median hospital's median price ($99), higher than 97% 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 Mayo Clinic Arizona

Negotiated rates from the hospital’s own file: 17 payers, 46 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	Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$813	$813	—	—	—	$813 – $813
2	Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$813	$813	—	—	—	$813 – $813
3	UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges	$813	$813	—	—	—	$813 – $813
4	UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges	$813	$813	—	—	—	$813 – $813
5	Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
6	Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
7	Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
8	Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
9	Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
10	Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
11	Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges	$829	$829	—	—	—	$829 – $829
12	Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
13	Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
14	Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
15	Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
16	Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
17	Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
18	Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
19	Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
20	Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges	$901	$901	—	—	—	$901 – $901
21	Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges	$961	$961	—	—	—	$961 – $961
22	Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges	$961	$961	—	—	—	$961 – $961
23	Aetna az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
24	First Health az aetna asa [1119] facility · percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Humana az transplant [28] facility · percent of total billed charges · bothfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 2 · 46 rates

Last updated: Aug 14, 2026

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