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
DEXTRAN 40 10% IN 5% DEXTROSE INTRAVENOUS BOLUS
Ozark, MO
See all hospitals reporting HCPCS J7100 →Price type
Mercy Hospital Springfield’s median price of $32 is 68% below the median hospital's median price ($99), higher than 11% of the 1,381 hospitals reporting HCPCS J7100. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 25 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 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 2 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 3 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 8 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 9 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 10 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 13 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 15 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 17 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 18 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 19 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 20 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 21 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 22 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 23 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 24 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
| 25 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $554 | $554 | — | — | — | $554 – $554 |
Last updated: Jun 4, 2026
See Dextran 40 infusion, 500 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.