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
Utah
Hospital Address Code Price Last Updated
Mountainstar Healthcare 6985 Union Park Center, Suite 500, Midvale J7121 $118 [source] 4 years ago
Castleview Hospital 300 North Hospital Drive, Price J7121 $140 [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.