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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln J7121 $188 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney J7121 $188 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha J7121 $188 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler J7121 $188 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion J7121 $188 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview J7121 $188 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City J7121 $188 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha J7121 $188 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha J7121 $188 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island J7121 $188 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln J7121 $188 [source] 4 years ago

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.