Every billing code / HCPCS J7121 / Forks Community Hospital
HCPCS J7121 at Forks Community Hospital
5% dextrose in lactated ringers infusion, up to 1000 cc
Forks Community Hospital, Forks
Description from CMS's HCPCS Level II code file.
What Forks Community Hospital publishes for this code: as an outpatient
Forks Community Hospital’s prices for HCPCS J7121, as an outpatient| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
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| Commercial insuranceInsurer rates | $9.28 – $21.634 plans | — |
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| Medicare AdvantageInsurer rates | $8.00 – $5575 plans | — |
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| Medicaid managed careInsurer rates | $7.48 – $9.635 plans | — |
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| Other government programInsurer rates | $8.00 – $9.732 plans | — |
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| UnknownInsurer rates | $12.45 – $21.635 plans | — |
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| Cash pricePaying yourself, without insurance | $17.30 | — |
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| List priceBefore any discount; few people pay it | $21.63 | — |
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Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. This is one line of a bill; most care brings several.
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
Bills to expect for HCPCS J7121 at Forks Community Hospital| Bill | What it’s for | Original Medicare allows | Private plan estimate |
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| Hospital's feeThe hospital | The drug, per billing unit | — | The price above |
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Drug prices are per billing unit (the unit is in the code's name, such as "per 10 mg"). Your dose decides how many units you're billed, so the total depends on your prescription, and giving the drug may be billed separately.
Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.
Compare HCPCS J7121 at every Washington hospital, with Medicare’s reference amounts.