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
Troy, NY
See all hospitals reporting HCPCS J7100 →Price type
Samaritan Hospital’s median price of $72 is 27% below the median hospital's median price ($99), higher than 34% 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: 12 payers, 20 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 blue shield of ne new york hmo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 2 | Blue Cross Blue Shield blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Carefirst blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Excellus blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 6 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 8 | Highmark blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Premera blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 10 | Regence blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 12 | Wellmark blue shield of ne new york ppo facility · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 13 | UnitedHealthcare uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 14 | UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges | $419 | $419 | — | — | — | $419 – $419 |
| 15 | First Health first health facility · percent of total billed charges · bothfrom % of charges | $838 | $838 | — | — | — | $838 – $838 |
| 16 | Cigna cigna facility · percent of total billed charges · bothfrom % of charges | $890 | $890 | — | — | — | $890 – $890 |
| 17 | MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges | $942 | $942 | — | — | — | $942 – $942 |
| 18 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $942 | $942 | — | — | — | $942 – $942 |
| 19 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $942 | $942 | — | — | — | $942 – $942 |
| 20 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Mar 31, 2026
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