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 5 %-NACL 0.45 % W/ KCL 20 MEQ/L PREMIX IV
Sandwich, IL
See all hospitals reporting HCPCS J3480 →Price type
Northwestern Medicine Valley West Hospital’s median price of $128 is 1453% above the median hospital's median price ($8), higher than 96% of the 2,296 hospitals reporting HCPCS J3480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $22.37 | $22.89 | $3.66 – $36.52 |
| 2 | Cigna Healthspring vwh illinois medicaid percent of total billed charges · outpatientfrom % of charges | $22.37 | $22.89 | $3.66 – $36.52 |
| 3 | Blue Cross Blue Shield vwh blue cross medicare advt percent of total billed charges · outpatientfrom % of charges | $61.59 | $63.02 | $10.07 – $100.56 |
| 4 | Humana vwh medicare percent of total billed charges · outpatientfrom % of charges | $61.59 | $63.02 | $10.07 – $100.56 |
| 5 | Aetna vwh aetna nm employees percent of total billed charges · outpatientfrom % of charges | $82.33 | $84.24 | $13.46 – $134.43 |
| 6 | Aetna vwh aetna il preferred percent of total billed charges · outpatientfrom % of charges | $112.80 | $115.42 | $18.44 – $184.18 |
| 7 | Blue Cross Blue Shield vwh bcbs par/indemnity adp percent of total billed charges · outpatientfrom % of charges | $181.19 | $185.40 | $29.63 – $295.85 |
| 8 | Blue Cross Blue Shield vwh bcbs bluechoice options percent of total billed charges · outpatientfrom % of charges | $195.77 | $200.33 | $32.01 – $319.67 |
| 9 | Blue Cross Blue Shield vwh bcbs bluechoice select percent of total billed charges · outpatientfrom % of charges | $195.77 | $200.33 | $32.01 – $319.67 |
| 10 | Blue Cross Blue Shield vwh bcbs bluechoice preferred percent of total billed charges · outpatientfrom % of charges | $204.20 | $208.95 | $33.39 – $333.43 |
| 11 | Blue Cross Blue Shield vwh bcbs hmo percent of total billed charges · outpatientfrom % of charges | $211.17 | $216.08 | $34.53 – $344.81 |
| 12 | MultiPlan vwh phcs percent of total billed charges · outpatientfrom % of charges | $259.30 | $265.33 | $42.40 – $423.40 |
| 13 | Blue Cross Blue Shield vwh bcbs ppo percent of total billed charges · outpatientfrom % of charges | $264.81 | $270.97 | $43.30 – $432.40 |
| 14 | MultiPlan vwh multiplan percent of total billed charges · outpatientfrom % of charges | $283.61 | $290.21 | $46.38 – $463.09 |
| 15 | First Health vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $324.13 | $331.67 | $53.00 – $529.25 |
| 16 | MultiPlan vwh non-contracted payors percent of total billed charges · outpatientfrom % of charges | $324.13 | $331.67 | $53.00 – $529.25 |
| 17 | UnitedHealthcare vwh uhc non-contracted oon - ed only percent of total billed charges · outpatientfrom % of charges | $324.13 | $331.67 | $53.00 – $529.25 |
Last updated: Apr 1, 2026
See Potassium chloride injection, 2 mEq per mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.