Dextrose 5% and half-normal saline IV solution, 1000 mL at Southeast Texas - Jasper Memorial

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

dextrose 5 % and 0.45 % NaCl infusion

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $59 is 291% above the median hospital's median price ($15), higher than 88% of the 813 hospitals reporting HCPCS S5010. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS S5010 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 11 payers, 28 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 chip km percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
2	UnitedHealthcare star kid km percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
3	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
4	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
5	Bcbs Tx blue advantage hmo fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
6	Bcbs Tx heb fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
7	Bcbs Tx hmo fee schedule · outpatient	$25	$25	—	—	—	$25 – $25
8	Bcbs Tx ppo fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
9	Bcbs Tx traditional fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
10	Aetna mm percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
11	UnitedHealthcare hix percent of total billed charges · outpatientfrom % of charges	$43	$43	$1	3%	—	$41 – $44
12	Molina chip km percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
13	Molina star km percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
14	Molina star plus km percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
15	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$53	$53	$9	17%	—	$44 – $62
16	Cigna new business percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
17	Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
18	Devoted mm percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
19	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
20	Humana choicecare percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
21	Aetna new business percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
23	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$99	$99	$4	4%	—	$95 – $103
24	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$99	$99	$4	4%	—	$95 – $103
25	Aetna epo percent of total billed charges · outpatientfrom % of charges	$101	$101	—	—	—	$101 – $101

Page 1 of 2 · 28 rates

Last updated: Jan 13, 2026

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