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5% Dextrose in Lactated Ringers Infusion

Pennsylvania rates for HCPCS J7121

5% Dextrose In Lactated Ringers Infusion, Up To 1000 Cc

Rates data updated July 2026.

How much does 5% Dextrose in Lactated Ringers Infusion cost?

$8.13

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $8.13 for this service. The price depends on where it is billed: about $8.13 from a physician practice, and about $17.78 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.13$8.13 to $8.13
FacilityA hospital or hospital-owned outpatient department$17.78$8.13 to $43.65

How much rates vary

Facilitymedian $18 · 10th to 90th $8 to $65Professionalmedian $8 · 10th to 90th $8 to $11
$10$20$50$100$200facility $18professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$23.99
Typical High
$64.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$12.30
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$10.47
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.13
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$28.18
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.37
Median
$6.61
Typical High
$22.39
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$10.47
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$20.89
Typical High
$63.10
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$10.96

Where Pennsylvania sits

The same service costs 4.4 times more in Florida than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 32nd of 51

$8.13

FL $21.88KY $5.01

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.