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HCPCS J7121 (Dextrose In Lactated Ringers) Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

5% dextrose in lactated ringers infusion, up to 1000 cc
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

11 - Office

Complexity LevelLow
WAC Price
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Related NDC Codes

00264-7751-00 - DEXTROSE 5%/LACTATED RINGERS (EXCEL)

00264-7751-10 - DEXTROSE 5%/LACTATED RINGERS (EXCEL)

00338-0125-03 - LACTATED RINGER'S AND 5% DEXTROSE (VIAFLEX)

00338-0125-04 - LACTATED RINGER'S AND 5% DEXTROSE (VIAFLEX, 14X1000ML)

00338-0811-04 - POTASSIUM CHLORIDE SOLUTION (5%,DEXTROSE & LAC-RING) (14X1000ML)


National average reimbursement for HCPCS J7121 by major payers:

bcbs

$6.52

uhc

$8.04

aetna

$10.81

cigna

$8.34

Preview provider-level rates for...
For billing codeHCPCS J7121
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS J7121

United
J7121$7.981871556217 - UINTAH BASIN MEDICAL CENTER870276435 - (UT) UINTAH BASIN MEDICAL CENTERUTGeneral Acute Care Hospital (282N00000X)
United
J7121$7.961568481984 - MERCY HOSPITAL SOUTH430980256 - (MO) MERCY HOSPITAL SOUTHMOGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981356860621 - CHI MEMORIAL HOSPITAL822748395 - CHI MEMORIAL HOSPITAL - GEORGIAGAGeneral Acute Care Hospital (282N00000X)
United
J7121$4.111972523348 - UNIVERSITY HOSPITAL AT STONY BROOK, STONY BROOK UNIVERSITY HOSPITAL113243405NYGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981518912278 - OMAHA VAMC, GRAND ISLAND VAMC470376487NEGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981215069018 - FRANKLIN COUNTY MEMORIAL HOSPITAL646001390 - FRANKLIN COUNTY MEMORIAL HOSPITALMSGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981881632818 - ST. JOSEPH'S HOSPITAL, INC., ST. JOSEPH'S HOSPITAL590774199 - (FL) ST JOSEPHS HOSPITAL INCFLGeneral Acute Care Hospital (282N00000X)
United
J7121$11.321730327396 - NORTH HAWAII COMMUNITY HOSPITAL, INC., HOSPITALIST PHYSICIAN GROUP990260423 - (HI) QUEENS NORTH HAWAII COMMUNITY HOSPITALHIGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981881144889 - NGMC BARROW LLC, NGMC BARROW581177261 - (GA) GAINESVILLE RADIOLOGY GROUPGAGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981346285657 - UNIVERSITY OF ROCHESTER, STRONG MEMORIAL HOSPITAL160743209 - UNIVERSITY OF ROCHESTERNYGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981972689172 - LAKE HOSPITAL SYSTEM INC, LAKE HEALTH341425870 - (OH) UNIVERSITY HOSPITALS HEALTH SYSTEM INCOHGeneral Acute Care Hospital (282N00000X)
United
J7121$13.971740249739 - MAINE COAST REGIONAL HEALTH FACILITIES, NORTHERN LIGHT MAINE COAST HOSPITAL10198331 - (ME) MAINE COAST REGIONAL HEALTH FACILI DBA NORTHERN LIGHT MAINE COAST HOSMEGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981407219181 - SARAH ALLEN61578286 - DOWNTOWN BRONX MEDICAL ASSOCIATES PCCAGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981770598104 - KENMORE MERCY HOSPITAL160762843 - (NY) KENMORE MERCY HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
J7121$7.981396764080 - DECATUR GENERAL HOSPITAL, THE HEALTHCARE AUTHORITY OF MORGAN COUNTY636000260ALGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS J7121 vs. Other Drugs, Administered by Injection Codes

The HCPCS J7121 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS J7121 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
00264-7751-00-NDCModerateDEXTROSE 5%/LACTATED RINGERS (EXCEL)
J7120-HCPCSLowRingers lactate infusion, up to 1000 cc
J7121-HCPCSLow5% dextrose in lactated ringers infusion, up to 1000 cc
J7131-HCPCSLowHypertonic saline solution, 1 ml

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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