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 40MG/D5 25ML PMX
Erie, PA
See all hospitals reporting HCPCS J1265 →Price type
UPMC Hamot’s median price of $5 is 49% below the median hospital's median price ($10), higher than 43% of the 2,245 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: 6 payers, 25 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 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Highmark upmc emergent facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | UnitedHealthcare commercial facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3 | $13 | $14 | 112% | — | $3 – $34 |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $14 | $15 | 112% | — | $4 – $37 |
| 8 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $4 | $15 | $17 | 112% | — | $4 – $41 |
| 9 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $4 | $15 | $17 | 112% | — | $4 – $41 |
| 10 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $4 | $15 | $17 | 112% | — | $4 – $41 |
| 11 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $4 | $15 | $17 | 112% | — | $4 – $41 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $18 | $20 | 112% | — | $5 – $48 |
| 13 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $5 | $20 | $23 | 112% | — | $5 – $54 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $20 | $23 | 112% | — | $5 – $54 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $20 | $23 | 112% | — | $5 – $54 |
| 16 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $5 | $20 | $23 | 112% | — | $5 – $54 |
| 17 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $5 | $20 | $23 | 112% | — | $5 – $54 |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $6 | $23 | $26 | 112% | — | $6 – $62 |
| 19 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $7 | $25 | $28 | 112% | — | $7 – $68 |
| 20 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $9 | $35 | $39 | 112% | — | $9 – $95 |
| 21 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $9 | $35 | $39 | 112% | — | $9 – $95 |
| 22 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $9 | $35 | $39 | 112% | — | $9 – $95 |
| 23 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $9 | $35 | $39 | 112% | — | $9 – $95 |
| 24 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $11 | $40 | $45 | 112% | — | $10 – $109 |
| 25 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $11 | $40 | $45 | 112% | — | $10 – $109 |
Last updated: Mar 6, 2026
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