00990-7922-03 — Dextrose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Dextrose (OTHER 00990-7922-03) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00990-7922-03?code_type=OTHER
MLA (9th ed.)
“Dextrose (OTHER 00990-7922-03) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00990-7922-03?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Dextrose (OTHER 00990-7922-03) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00990-7922-03?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,297–$2,882 (25th–75th percentile) across 5 hospitals · 33 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00990-7922-03 — 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 |
|---|---|---|---|---|---|---|---|
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $1.95 | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $12.60 | $8.82 | 2026-05-14 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Mine Workers Of America | United Mine Workers Of America | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna | Better Health | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Caresource | Caresource | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Multiplan | Multiplan | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Cigna | Cigna | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | United Healthcare | United Healthcare | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| GRANT MEMORIAL HOSPITAL Inpatient | Aetna Rental | First Health | — | $15.00 | $12.00 | 2026-05-13 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Simpra Advantage | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Health Choice | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | First Health | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Cigna | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna All Plans | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Aetna | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Galaxy Health Network Ppo | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Naphcare | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Viva Health | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Care Improvement Plus | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Fl | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Al | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Dept Of Labor | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Direct Connect Contracting | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Humana Choicecare Gold | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | Security Health | Medicare Advantage | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SOUTHEAST HEALTH MEDICAL CENTER Inpatient | United Healthcare Va | Commercial | — | $83.90 | $33.56 | 2026-05-08 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna Rental | First Health | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $15.00 | $7.50 | 2026-05-22 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | United Healthcare | United Healthcare | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Cigna | Cigna | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Multiplan | Multiplan | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | Aetna | Better Health | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SUMMERSVILLE REGIONAL MEDICAL CENTER Inpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $15.00 | $7.50 | 2026-05-14 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Ambetter | Exchange Commercial | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Ambetter | Exchange Commercial | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Cigna | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare | Government | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Humana | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid | [State] | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid Hmo | Generic | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Shared Health | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare Advantage | Generic | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Magnolia | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Children'S | Managed Medicaid | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Healthcare Of Ms | Commercial | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Tricare Humana & Behavior Health | Commercial | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare Children'S | Managed Medicaid | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Cigna | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $816.60 | $244.98 | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare | Government | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Humana | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid | [State] | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare Children'S | Managed Medicaid | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Tricare Humana & Behavior Health | Commercial | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Healthcare Of Ms | Commercial | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Children'S | Managed Medicaid | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Magnolia | Medicaid Mscan | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare Advantage | Generic | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Shared Health | Medicare Advantage | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid Hmo | Generic | — | $816.60 | $244.98 | 2026-05-13 | MRF ↗ |