Code: J7121

Description:
Description: 5% dextrose in lactated ringers infusion, up to 1000 cc
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
DEXTROSE 5 % AND LACTATED RINGERS INTRAVENOUS SOLUTION
DEXTROSE 5 % IN LACTATED RINGERS IV BOLUS
DEXTROSE 5% IN LACTATED RINGERS BOLUS 500 ML
DEXTROSE 5% IN LACTATED RINGERS BOLUS 1000 ML
DEXTROSE 5% IN LACTATED RINGERS IV SOLN 1000 ML
IV LACT RINGERS 5PER DEX 500ML
Related codes:
Code: J7120
LACTATED RINGERS 500 ML
State Average # Hospitals In Database
District of Columbia (DC) $4 1
Illinois (IL) $7 1
Maryland (MD) $8 4
Massachusetts (MA) $11 8
Connecticut (CT) $19 3
South Dakota (SD) $24 2
Maine (ME) $34 4
New Hampshire (NH) $35 3
Alaska (AK) $37 2
Pennsylvania (PA) $43 5
Kansas (KS) $48 5
Hawaii (HI) $49 1
Washington (WA) $57 1
Oklahoma (OK) $60 3
Michigan (MI) $71 18
North Dakota (ND) $73 2
New Mexico (NM) $80 2
West Virginia (WV) $81 2
Wisconsin (WI) $83 20
North Carolina (NC) $89 5
Kentucky (KY) $89 10
Indiana (IN) $90 13
Idaho (ID) $106 3
Tennessee (TN) $110 12
Arizona (AZ) $115 4
Alabama (AL) $125 4
Utah (UT) $125 3
Virginia (VA) $146 3
Georgia (GA) $151 16
South Carolina (SC) $181 10
Iowa (IA) $188 3
Nebraska (NE) $188 11
Florida (FL) $225 74
Colorado (CO) $227 1
Texas (TX) $250 31
Nevada (NV) $293 12
California (CA) $306 32
Wyoming (WY) $322 2
Louisiana (LA) $397 3
Mississippi (MS) $429 1

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.