ST. LUKE’S CHARGE 10002800 DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN Insurance and Self Pay Discounts 250 J1265 0338-1007-02 $189.44

Overview: Dopamine in D5W (1.6–5 mg/mL) intravenous solution is a critical medication used in hospitals for patients requiring cardiovascular support, such as those with low blood pressure or shock. The listed fee typically encompasses the drug itself, preparation, and administration costs. However, additional charges for hospital stay, infusion equipment, and monitoring may apply. Patients are advised to request a fully itemized estimate from their provider, as actual out-of-pocket expenses can vary based on insurance coverage and negotiated rates.

Cost Breakdown

  • Standard Fee: $189.44
  • Self-Pay Rate: $98.86
  • Insurance Rates: Range from $80.05 to $141.85 depending on plan
  • Common CPT Code: J1265
  • Revenue Code: 250
  • NDC: 0338-1007-02

Associated Costs

  • Hospital facility fees
  • IV equipment and supplies
  • Continuous patient monitoring
  • Professional fees for physicians and nursing staff
  • Additional medications or interventions as needed

Insurance & Payment Advice

  • Verify your insurance plan’s coverage for drugs administered in a hospital setting.
  • Ask for an itemized bill to distinguish medication charges from other hospital services.
  • Explore self-pay discounts or payment plans if you are uninsured or have a high-deductible plan.
  • Check if pre-authorization is needed before receiving the medication.

Side-Effect Considerations & Recovery Tips

  • Dopamine can cause side effects such as irregular heartbeat, chest pain, or headache; report these promptly to your care team.
  • Continuous monitoring is essential during administration to detect and manage complications quickly.
  • After infusion, follow all post-care instructions and attend recommended follow-up appointments.

Frequently Asked Questions

  • What is dopamine in D5W used for?
    Dopamine in D5W is used to treat patients with low blood pressure, shock, or certain heart conditions to help improve blood flow and cardiac output.
  • Does the listed fee cover all related hospital costs?
    No, the fee usually covers the medication and its administration, but additional charges for hospital stay, equipment, and monitoring may apply.
  • How can I find out my exact out-of-pocket cost?
    Request an itemized estimate from your hospital and check with your insurance provider to understand your plan’s coverage and negotiated rates.
  • Are there discounts for uninsured or self-pay patients?
    Yes, many hospitals offer self-pay discounts or payment plans, as reflected in the lower self-pay rate compared to the standard fee.
  • Which insurance plans have the lowest negotiated rates for this medication?
    Rates vary, but some UnitedHealthcare plans list rates as low as $80.05. Your specific rate depends on your plan’s network agreements.
  • Is prior authorization required for dopamine infusions?
    Some insurance plans may require pre-authorization; check with your insurer before treatment to avoid unexpected costs.
  • What side effects should I watch for during dopamine infusion?
    Common side effects include irregular heartbeat, chest pain, and headache. Notify your healthcare team immediately if you experience any of these.
  • Can I receive dopamine infusion outside of a hospital setting?
    Dopamine infusions typically require hospital-level monitoring due to the risk of serious side effects and the need for dosage adjustments.
  • Will I be billed separately for the equipment or nursing care?
    Yes, hospitals often bill separately for IV equipment, supplies, and professional services in addition to the medication charge.
  • How can I reduce my overall costs for this treatment?
    Discuss options with your provider, ask about generic alternatives if available, and inquire about financial assistance programs.
  • What should I do after receiving a dopamine infusion?
    Follow your provider’s post-infusion instructions closely, report any new symptoms promptly, and attend any recommended follow-up visits.

Aurora ST. LUKE’S
CHARGE
10002800
DOPAMINE IN D5W 1.6-5 MG/ML-% IV SOLN
Rev 250
CPT J1265
NDC 0338-1007-02

Fee $189.44

Self-Pay $98.86

Insurance

Minimum $94.72
Maximum $141.85
Aetna W $82.75
Aetna PPO $132.13
Anthem Blue Priority $90.23
Anthem Blue Preferred $90.23
Anthem PPO $135.14
Aurora Caregiver $90.47
Centivo $87.67
Cigna GPPO $105.68
Cigna PPO $141.85
Common Ground ETF Network $87.54
Common Ground Exchange Envision $87.54
Common Ground Group Envision $87.54
Everpointe Elite $89.62
Health EOS Plus $103.72
Health EOS PPO $125.67
HealthPartners ETF $90.67
HealthPartners Robin Focused $108.57
HealthPartners Broad $127.29
HPS $95.16
HST $98.20
Humana HPN $92.54
Humana HMO $92.54
Humana PPO $130.81
Molina Exchange $105.14
Quartz One $83.77
Quartz Group $91.86
Trilogy $105.31
UHC Individual Exchange $80.05
UHC Charter $80.05
UHC Nexus $80.05
UHC HMO $83.82
UHC PPO $130.98
WPS Aurora Featured Network $93.92
WPS Arise $98.86
WPS Statewide $98.86