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
Williamsport, PA
See all hospitals reporting HCPCS J1265 →Price type
UPMC Williamsport’s median price of $3 is 72% below the median hospital's median price ($10), higher than 38% 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: 7 payers, 26 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Highmark medicare facility · fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $2 | $5 | $8 | 161% | — | $0 – $25 |
| 5 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $2 | $5 | $8 | 160% | — | $0 – $28 |
| 6 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $2 | $6 | $9 | 161% | — | $0 – $30 |
| 7 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $3 | $7 | $11 | 161% | — | $0 – $37 |
| 8 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $3 | $7 | $11 | 161% | — | $0 – $38 |
| 9 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $3 | $7 | $12 | 161% | — | $0 – $40 |
| 10 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $3 | $8 | $13 | 161% | — | $0 – $44 |
| 11 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3 | $8 | $13 | 161% | — | $0 – $45 |
| 12 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $4 | $9 | $14 | 161% | — | $1 – $47 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $9 | $14 | 160% | — | $1 – $47 |
| 14 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $4 | $9 | $15 | 161% | — | $1 – $50 |
| 15 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $5 | $11 | $18 | 161% | — | $1 – $62 |
| 16 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $5 | $11 | $18 | 161% | — | $1 – $62 |
| 17 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $63 |
| 18 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $63 |
| 19 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $64 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $64 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $64 |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5 | $12 | $19 | 161% | — | $1 – $64 |
| 23 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $5 | $14 | $22 | 161% | — | $1 – $73 |
| 24 | MultiPlan auto facility · percent of total billed charges · outpatientfrom % of charges | $5 | $14 | $22 | 161% | — | $1 – $73 |
| 25 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $5 | $14 | $22 | 161% | — | $1 – $73 |
Last updated: Mar 6, 2026
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