Dextrose 5% with potassium chloride IV fluid, 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

5% DEXTROSE WITH POTASSIUM

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $12 is 65% above the median hospital's median price ($8), higher than 77% of the 705 hospitals reporting HCPCS S5012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS S5012 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 1 payer, 5 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	$11	$11	—	—	—	$11 – $11
2	Bcbs Tx heb fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
3	Bcbs Tx hmo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
4	Bcbs Tx ppo fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
5	Bcbs Tx traditional fee schedule · outpatient	$15	$15	—	—	—	$15 – $15

Last updated: Jan 13, 2026

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