00338-0017-48 — Custom Dextrose 5 % In Water (d5w) Intravenous Solution
Cite this view
HANK Price Transparency. (n.d.). CUSTOM DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION (OTHER 00338-0017-48) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00338-0017-48?code_type=OTHER
“CUSTOM DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION (OTHER 00338-0017-48) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00338-0017-48?code_type=OTHER. Accessed .
“CUSTOM DEXTROSE 5 % IN WATER (D5W) INTRAVENOUS SOLUTION (OTHER 00338-0017-48) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00338-0017-48?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$10 (25th–75th percentile) across 3 hospitals · 20 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00338-0017-48 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| HOOD MEMORIAL HOSPITAL Both | Humana Gold Insurance | Ppo | $2.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Peoples Health Insurance | Ppo | $2.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Ppo | $3.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | United Healthcare Insurance | Ppo | $3.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Hmo | $3.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $3.66 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $3.92 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Aetna Insurance | Ppo | $4.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $4.00 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $4.59 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.64 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $4.66 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $4.85 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Cigna Insurance | Ppo | $5.00 | $5.00 | $4.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $5.10 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $5.64 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $5.80 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $6.16 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $6.25 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $6.27 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $6.29 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $6.29 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $6.49 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $6.55 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $6.55 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $6.90 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $7.12 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $7.21 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $7.86 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Humana Gold Insurance | Ppo | $8.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Peoples Health Insurance | Ppo | $8.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $8.60 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $8.64 | $9.10 | $4.16 | 2026-05-23 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Hmo | $10.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Bcbs La Insurance | Ppo | $10.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | United Healthcare Insurance | Ppo | $13.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Aetna Insurance | Ppo | $15.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| HOOD MEMORIAL HOSPITAL Both | Cigna Insurance | Ppo | $18.00 | $21.00 | $15.00 | 2026-05-08 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Caresource | Caresource | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Cigna | Cigna | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Caresource Exchange Plan | Caresource Exchange Plan | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Buckeye Commercial | Buckeye Commercial | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |
| JACKSON GENERAL HOSPITAL Inpatient | Aetna | Better Health | — | $5.10 | $2.55 | 2026-05-13 | MRF ↗ |