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 200 MG/5 ML (40 MG/ML) INTRAVENOUS SOLUTION
Smith, AR
See all hospitals reporting HCPCS J1265 →Price type
Mercy Hospital Fort Smith’s median price of $18 is 78% above the median hospital's median price ($10), higher than 57% 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: 9 payers, 13 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 | Medicaid hb ftsm ark medicaid facility · fee schedule · outpatient | $7 | $8 | $4 | 48% | — | $4 – $14 |
| 2 | Caresource hb ftsm caresource medicaid facility · fee schedule · outpatient | $7 | $8 | $4 | 48% | — | $4 – $14 |
| 3 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $8 | $9 | $4 | 48% | — | $4 – $16 |
| 4 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $8 | $9 | $4 | 48% | — | $4 – $16 |
| 5 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $8 | $9 | $4 | 48% | — | $4 – $16 |
| 6 | Medicaid hb ftsm mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $10 | $11 | $6 | 51% | — | $4 – $19 |
| 7 | Aetna hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13 | $14 | $7 | 51% | — | $5 – $23 |
| 8 | Humana hb ftsm ok managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13 | $14 | $7 | 51% | — | $5 – $23 |
| 9 | Cigna hb ftsm cigna facility · fee schedule · outpatient | $15 | $17 | $8 | 48% | — | $8 – $30 |
| 10 | Aetna hb ftsm coventry/aetna facility · fee schedule · outpatient | $26 | $29 | $14 | 48% | — | $13 – $52 |
| 11 | First Health hb ftsm first health_ccn facility · fee schedule · outpatient | $30 | $34 | $16 | 48% | — | $15 – $60 |
| 12 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $39 | $41 | $21 | 51% | — | $16 – $70 |
| 13 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $45 | $47 | $24 | 51% | — | $18 – $80 |
Last updated: Jun 8, 2026
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