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
magnesium sulfate 1 g/100 mL dextrose 5 % (Premixed) IVPB
Jasper, TX
See all hospitals reporting HCPCS J3475 →Price type
Southeast Texas - Jasper Memorial’s median price of $41 is 327% above the median hospital's median price ($10), higher than 84% of the 2,368 hospitals reporting HCPCS J3475. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 30 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 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Bcbs Tx heb fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Bcbs Tx hmo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bcbs Tx ppo fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Bcbs Tx traditional fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 6 | UnitedHealthcare all payer fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Aetna new business fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Aetna epo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Aetna hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Aetna pos fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Aetna ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Humana choicecare fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 14 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 15 | UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 16 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 17 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Aetna mm percent of total billed charges · outpatientfrom % of charges | $35 | $35 | — | — | — | $35 – $35 |
| 19 | UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges | $41 | $41 | — | — | — | $41 – $41 |
| 20 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 21 | Molina star km percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 22 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 23 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 24 | Cigna new business percent of total billed charges · outpatientfrom % of charges | $57 | $57 | — | — | — | $57 – $57 |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
Last updated: Jan 13, 2026
See Magnesium sulfate injection 50% pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.