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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS J7042 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$10.00 – $20.00$25.00 – $50.00
Cascade Valley HospitalArlington$614 – $6891 plan$48.00 – $54.56$60.00 – $68.20
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$14.40 – $28.80$36.00 – $72.00
EvergreenHealth Medical CenterKirkland—$21.60 – $46.40$27.00 – $58.00
EvergreenHealth MonroeMonroe—$22.40$28.00
Highline Medical CenterBurienFile dated 2026-02-28—$19.94$65.30
Island HospitalAnacortes$50.701 plan$78.00$78.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$81.66$117
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$11.80 – $23.60$29.50 – $59.00
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$10.00 – $20.00$25.00 – $50.00
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$10.00 – $20.00$25.00 – $50.00
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$5.00 – $20.00$12.50 – $50.00
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$14.40 – $28.80$36.00 – $72.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24—$112$139
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$9.75 – $19.50$19.50 – $39.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$102 – $115$146 – $164
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$89.09 – $96.54$171 – $186
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$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—$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—$79.78$114
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$89.09 – $89.92$171 – $173
Seattle Children's HospitalSeattle—$51.00 – $71.00$51.00 – $71.00
Skagit Valley HospitalMount Vernon—$48.00 – $54.56$60.00 – $68.20
St Anthony HospitalGig HarborFile dated 2026-02-28—$19.87$65.30
St Clare HospitalLakewoodFile dated 2026-02-28—$18.83$65.30
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$23.08$65.30
St Francis Community HospitalFederal WayFile dated 2026-02-28—$20.50$65.30
St Joseph Medical CenterTacomaFile dated 2026-02-28—$21.63$65.30
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$28.83$65.30
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$12.10 – $24.19$25.20 – $50.40
Swedish IssaquahIssaquahFile dated 2026-04-01—$12.10 – $24.19$25.20 – $50.40
Swedish Medical CenterSeattleFile dated 2026-04-01—$12.10 – $24.19$25.20 – $50.40
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$12.10 – $24.19$25.20 – $50.40
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$10.00 – $20.00$25.00 – $50.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$10.00 – $1,970$25.00 – $4,925

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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.