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/dextrose 5% (Lmd) 500ml
Perryton, TX
See all hospitals reporting HCPCS J7100 →Price type
Ochiltree General Hospital’s median price of $129 is 30% above the median hospital's median price ($99), higher than 64% of the 1,385 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: 5 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 medicare advantage fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Humana medicare advantage fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Superior Healthplan commercial fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Superior Healthplan medicare advantage fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $129 | $129 | — | — | — | $129 – $129 |
| 6 | Bcbs Tx commercial percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 7 | Bcbs Tx ppo percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
| 8 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $137 | $137 | — | — | — | $137 – $137 |
Last updated: Nov 9, 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.