HCPCS J7100

Infusion, dextran 40, 500 ml

Current codeIntravenous Infusion, Hydration22 hospitals with prices

Description from CMS's HCPCS Level II code file.

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.

Prices for HCPCS J7100 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Harborview Medical CenterSeattleFile dated 2026-04-01———
Highline Medical CenterBurienFile dated 2026-02-28—$125$409
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$112 – $307$161 – $439
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$198$283
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$198$283
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$119$229
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
St Anthony HospitalGig HarborFile dated 2026-02-28—$124$409
St Clare HospitalLakewoodFile dated 2026-02-28—$118$409
St Elizabeth HospitalEnumclawFile dated 2026-02-28$69.45 – $84.565 plans$144$409
St Francis Community HospitalFederal WayFile dated 2026-02-28—$128$409
St Joseph Medical CenterTacomaFile dated 2026-02-28—$135$409
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$180$409
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$53.22 – $172$111 – $358
Swedish IssaquahIssaquahFile dated 2026-04-01—$161 – $172$335 – $358
Swedish Medical CenterSeattleFile dated 2026-04-01—$161 – $172$335 – $358
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$161 – $172$335 – $358
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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.