HCPCS J7121
5% dextrose in lactated ringers infusion, up to 1000 cc
Current codeIntravenous Infusion, Hydration30 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $11.40 – $42.50 | $20.00 | $50.00 |
| Cascade Valley Hospital | $5.10 – $593 | $48.00 | $60.00 |
| Deaconess Medical Center | $11.40 – $52.56 | $28.66 – $28.80 | $71.65 – $72.00 |
| Island Hospital | $6.24 – $74.10 | $78.00 | $78.00 |
| Kadlec Regional Medical Center | $7.55 – $22.99 | $81.66 | $117 |
| Mary Bridge Children's Hospital | $38.11 – $48.03 | $23.60 | $59.00 |
| MultiCare Auburn Medical Center | $11.40 – $36.50 | $20.00 | $50.00 |
| MultiCare Covington Medical Center | $11.40 – $36.50 | $20.00 | $50.00 |
| MultiCare Good Samaritan Hospital | $11.40 – $36.50 | $20.00 | $50.00 |
| MultiCare Valley Hospital | $11.40 – $51.84 | $28.80 | $72.00 |
| Olympic Medical Center | $24.68 – $68.88 | $35.33 – $55.10 | $44.16 – $68.88 |
| Overlake Hospital Medical Center & Clinics | $15.14 – $16.12 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $8.50 – $16.28 | $103 – $108 | $148 – $154 |
| Providence Centralia Hospital | $18.15 – $22.99 | $90.75 | $175 |
| Providence Holy Family Hospital | $8.50 – $16.28 | $103 – $108 | $148 – $154 |
| Providence Mount Carmel Hospital | — | $105 – $108 | $150 – $154 |
| Providence Regional Medical Center Everett | $8.50 – $16.28 | — | — |
| Providence St Joseph Hospital | — | $103 – $108 | $148 – $154 |
| Providence St Mary Medical Center | $16.28 | $79.78 | $114 |
| Providence St Peter Hospital | $16.93 | $90.75 | $175 |
| Seattle Children's Hospital | $10.80 – $58.56 | $20.00 – $61.00 | $20.00 – $61.00 |
| Skagit Valley Hospital | $8.66 – $57.00 | $48.00 | $60.00 |
| Swedish Edmonds Hospital | $8.50 | $12.10 | $25.20 |
| Swedish Issaquah | $8.50 | $12.10 | $25.20 |
| Swedish Medical Center | $8.50 | $12.10 | $25.20 |
| Swedish Medical Center / Cherry Hill | $8.50 | $12.10 | $25.20 |
| Tacoma General Allenmore Hospital | $11.40 – $36.50 | $20.00 | $50.00 |
| Virginia Mason Medical Center | $25.44 – $28.88 | — | — |
| WhidbeyHealth Medical Center | — | $105 | $105 |
| Yakima Valley Memorial | $12.25 – $42.85 | $10.00 – $20.00 | $25.00 – $50.00 |
Medicare (traditional) reference
CMS publishes no national amount for this code.