HCPCS S5012

5% dextrose with potassium chloride, 1000 ml

Current code13 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS S5012 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$9.231 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$9.02 – $48.504 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$5.08 – $9.702 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$12.221 plan——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$5.08 – $9.702 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$5.08 – $9.703 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$9.701 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$10.091 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$5.081 plan——
Swedish IssaquahIssaquahFile dated 2026-04-01$5.081 plan——
Swedish Medical CenterSeattleFile dated 2026-04-01$5.081 plan——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$5.081 plan——
Virginia Mason Medical CenterSeattle$15.16 – $17.202 plans——

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.