HCPCS J7042

5% dextrose/normal saline (500 ml = 1 unit)

Current codeIntravenous Infusion, Hydration43 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS J7042 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$18.25 – $42.502 plans$10.00 – $20.00$25.00 – $50.00
Cascade Medical CenterLeavenworth$1.17 – $10.982 plans$14.00$17.50
Cascade Valley HospitalArlington$5.10 – $6898 plans$48.00 – $54.56$60.00 – $68.20
Deaconess Medical CenterSpokaneFile dated 2026-08-27$13.37 – $52.565 plans$14.40 – $28.80$36.00 – $72.00
EvergreenHealth Medical CenterKirkland$1.06 – $53.947 plans$21.60 – $46.40$27.00 – $58.00
EvergreenHealth MonroeMonroe$17.64 – $26.0412 plans$22.40$28.00
Harborview Medical CenterSeattleFile dated 2026-04-01$1.271 plan——
Highline Medical CenterBurienFile dated 2026-02-28$28.08 – $58.775 plans$19.94$65.30
Island HospitalAnacortes$1.31 – $74.1013 plans$78.00$78.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$1.47 – $4.484 plans$81.66$117
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2.23 – $3.383 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$19.05 – $48.036 plans$11.80 – $23.60$29.50 – $59.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$18.25 – $36.502 plans$10.00 – $20.00$25.00 – $50.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$18.25 – $36.502 plans$10.00 – $20.00$25.00 – $50.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$9.13 – $36.502 plans$5.00 – $20.00$12.50 – $50.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$13.37 – $51.845 plans$14.40 – $28.80$36.00 – $72.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24$77.91 – $1396 plans$112$139
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$2.19 – $2.343 plans$9.75 – $19.50$19.50 – $39.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1.30 – $2.603 plans$102 – $115$146 – $164
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3.28 – $8.024 plans$89.09 – $96.54$171 – $186
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$1.30 – $2.603 plans$102 – $115$146 – $164
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$102 – $108$146 – $154
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1.30 – $2.604 plans$76.38$147
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$102 – $108$146 – $154
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$2.60 – $7.142 plans$79.78$114
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2.31 – $2.702 plans$89.09 – $89.92$171 – $173
Seattle Children's HospitalSeattle$27.54 – $68.1698 plans$51.00 – $71.00$51.00 – $71.00
Skagit Valley HospitalMount Vernon$8.66 – $64.797 plans$48.00 – $54.56$60.00 – $68.20
St Anthony HospitalGig HarborFile dated 2026-02-28$32.65 – $48.983 plans$19.87$65.30
St Clare HospitalLakewoodFile dated 2026-02-28$32.65 – $48.983 plans$18.83$65.30
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1.46 – $58.778 plans$23.08$65.30
St Francis Community HospitalFederal WayFile dated 2026-02-28$32.65 – $48.983 plans$20.50$65.30
St Joseph Medical CenterTacomaFile dated 2026-02-28$32.65 – $48.983 plans$21.63$65.30
St Michael Medical CenterSilverdaleFile dated 2026-02-28$2.16 – $58.7710 plans$28.83$65.30
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$1.30 – $2.714 plans$12.10 – $24.19$25.20 – $50.40
Swedish IssaquahIssaquahFile dated 2026-04-01$1.30 – $2.713 plans$12.10 – $24.19$25.20 – $50.40
Swedish Medical CenterSeattleFile dated 2026-04-01$1.30 – $2.312 plans$12.10 – $24.19$25.20 – $50.40
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$1.30 – $2.312 plans$12.10 – $24.19$25.20 – $50.40
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$18.25 – $36.502 plans$10.00 – $20.00$25.00 – $50.00
University of Washington Medical CtrSeattleFile dated 2026-04-01$1.271 plan——
Virginia Mason Medical CenterSeattle$2.421 plan——
WhidbeyHealth Medical CenterCoupeville—$4.00$4.00
Yakima Valley MemorialYakimaFile dated 2026-08-27$2.71 – $4,2217 plans$10.00 – $1,970$25.00 – $4,925

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.