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
Dextrose 40% Gel(glutos-15 Gel)
Muleshoe, TX
See all hospitals reporting CPT 57400 →Price type
Muleshoe Area Medical Center dba Muleshoe Area Medical Center’s median price of $8 is 100% below the median hospital's median price ($3.3k), higher than 0% of the 1,552 hospitals reporting CPT 57400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 8 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 commercial percent of total billed charges · outpatientfrom % of charges | $4.00 | $4.00 | $4.00 – $4.00 |
| 2 | Superior Healthplan hmo fee schedule · outpatient | $6.00 | $6.00 | $6.00 – $6.00 |
| 3 | Superior Healthplan ppo fee schedule · outpatient | $6.00 | $6.00 | $6.00 – $6.00 |
| 4 | Bcbs Tx blue essentials percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 5 | Bcbs Tx commercial percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 6 | Bcbs Tx hmo percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 7 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $8.00 | $8.00 | $8.00 – $8.00 |
| 8 | Superior Healthplan commercial percent of total billed charges · outpatientfrom % of charges | $10.00 | $10.00 | $10.00 – $10.00 |
Last updated: Dec 16, 2025
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