HCPCS J7042
5% dextrose/normal saline (500 ml = 1 unit)
Current codeIntravenous Infusion, Hydration43 hospitals with prices
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $10.00 – $20.00 | $25.00 – $50.00 |
| Cascade Medical Center | $9.74 – $14.63 | $14.00 | $17.50 |
| Cascade Valley Hospital | $60.00 – $68.20 | $48.00 – $54.56 | $60.00 – $68.20 |
| Deaconess Medical Center | — | $14.40 – $28.80 | $36.00 – $72.00 |
| EvergreenHealth Medical Center | — | $21.60 – $46.40 | $27.00 – $58.00 |
| EvergreenHealth Monroe | — | $22.40 | $28.00 |
| Harborview Medical Center | — | — | — |
| Highline Medical Center | — | $19.94 | $65.30 |
| Island Hospital | $39.00 | $78.00 | $78.00 |
| Kadlec Regional Medical Center | — | $81.66 | $117 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $11.80 – $23.60 | $29.50 – $59.00 |
| MultiCare Auburn Medical Center | — | $10.00 – $20.00 | $25.00 – $50.00 |
| MultiCare Covington Medical Center | — | $10.00 – $20.00 | $25.00 – $50.00 |
| MultiCare Good Samaritan Hospital | — | $5.00 – $20.00 | $12.50 – $50.00 |
| MultiCare Valley Hospital | — | $14.40 – $28.80 | $36.00 – $72.00 |
| Olympic Medical Center | — | $112 | $139 |
| Overlake Hospital Medical Center & Clinics | — | $9.75 – $19.50 | $19.50 – $39.00 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $102 – $115 | $146 – $164 |
| Providence Centralia Hospital | — | $89.09 – $96.54 | $171 – $186 |
| Providence Holy Family Hospital | — | $102 – $115 | $146 – $164 |
| Providence Mount Carmel Hospital | — | $102 – $108 | $146 – $154 |
| Providence Regional Medical Center Everett | — | $76.38 | $147 |
| Providence St Joseph Hospital | — | $102 – $108 | $146 – $154 |
| Providence St Mary Medical Center | — | $79.78 | $114 |
| Providence St Peter Hospital | — | $89.09 – $89.92 | $171 – $173 |
| Seattle Children's Hospital | $13.11 – $23.08 | $51.00 – $71.00 | $51.00 – $71.00 |
| Skagit Valley Hospital | — | $48.00 – $54.56 | $60.00 – $68.20 |
| St Anthony Hospital | — | $19.87 | $65.30 |
| St Clare Hospital | — | $18.83 | $65.30 |
| St Elizabeth Hospital | $11.11 – $13.52 | $23.08 | $65.30 |
| St Francis Community Hospital | — | $20.50 | $65.30 |
| St Joseph Medical Center | — | $21.63 | $65.30 |
| St Michael Medical Center | — | $28.83 | $65.30 |
| Swedish Edmonds Hospital | — | $12.10 – $24.19 | $25.20 – $50.40 |
| Swedish Issaquah | — | $12.10 – $24.19 | $25.20 – $50.40 |
| Swedish Medical Center | — | $12.10 – $24.19 | $25.20 – $50.40 |
| Swedish Medical Center / Cherry Hill | — | $12.10 – $24.19 | $25.20 – $50.40 |
| Tacoma General Allenmore Hospital | — | $10.00 – $20.00 | $25.00 – $50.00 |
| University of Washington Medical Ctr | — | — | — |
| Virginia Mason Medical Center | — | — | — |
| WhidbeyHealth Medical Center | — | $4.00 | $4.00 |
| Yakima Valley Memorial | — | $10.00 – $1,970 | $25.00 – $4,925 |
Medicare (traditional) reference
CMS publishes no national amount for this code.