Dopamine in dextrose IV solution at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DOPAMINE 400 MG/250 ML (1,600 MCG/ML) IN 5 % DEXTROSE INTRAVENOUS SOLN

Troy, NY

See all hospitals reporting HCPCS J1265 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $6 is 38% below the median hospital's median price ($10), higher than 45% of the 2,245 hospitals reporting HCPCS J1265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1265 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 15 payers, 27 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$5	$5	—	—	—	$5 – $5
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
4	Carefirst blue shield of ne new york hmo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
5	Carefirst blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
6	Excellus blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
7	Highmark blue shield of ne new york ascend facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
8	Highmark blue shield of ne new york hmo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
9	Highmark blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
10	Premera blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
11	Regence blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
12	Wellmark blue shield of ne new york hmo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
13	Wellmark blue shield of ne new york ppo facility · fee schedule · both	$6	$6	—	—	—	$6 – $6
14	Anthem empire medicaid facility · fee schedule · both	$8	$8	—	—	—	$8 – $8
15	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both	$8	$8	—	—	—	$8 – $8
16	Excellus empire medicaid facility · fee schedule · both	$8	$8	—	—	—	$8 – $8
17	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both	$8	$8	—	—	—	$8 – $8
18	UnitedHealthcare united healthcare facility · fee schedule · both	$11	$11	—	—	—	$11 – $11
19	Cigna cigna facility · fee schedule · both	$12	$12	—	—	—	$12 – $12
20	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$17	$17	—	—	—	$17 – $17
21	Aetna aetna facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
22	Medical Mutual aetna facility · fee schedule · both	$18	$18	—	—	—	$18 – $18
23	First Health first health facility · percent of total billed charges · bothfrom % of charges	$26	$26	$9	34%	—	$17 – $35
24	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$29	$29	$10	34%	—	$19 – $39
25	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$29	$29	$10	34%	—	$19 – $39

Page 1 of 2 · 27 rates

Last updated: Mar 31, 2026

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