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
Dopamine/D5W 400 MG/250 ML Bag
Tyndall, SD
See all hospitals reporting HCPCS J1265 →Price type
St Michael's Hospital’s median price of $363 is 3549% above the median hospital's median price ($10), higher than 99% of the 2,229 hospitals reporting HCPCS J1265. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 10 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 | Medica com fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Medica ind fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $262 | $262 | — | — | — | $262 – $262 |
| 4 | Medica com percent of total billed charges · inpatientfrom % of charges | $311 | $311 | — | — | — | $311 – $311 |
| 5 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 6 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $344 | $344 | — | — | — | $344 – $344 |
| 7 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $383 | $383 | — | — | — | $383 – $383 |
| 8 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $383 | $383 | — | — | — | $383 – $383 |
| 9 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
| 10 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $403 | $403 | — | — | — | $403 – $403 |
Last updated: Apr 1, 2026
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