Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in California
indigotindisulfonate 8 MG/ML Soln 5 mL Ampule · HCPCS J9220
$488.98
lowest in California
$1,397.76
state median
$2,054.40
highest in California
$876.13
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| St Jude Medical Center | Fullerton | $488.98 | not published | 0 |
| Santa Rosa Memorial Hospital | Santa Rosa | $505.70 | not published | 0 |
| St. Bernardine Medical Center | San Bernardino | $876.13 | $526.20 – $2,236.35 | 11 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,222.04 | $9.30 – $17.21 | 7 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $1,222.04 | $9.30 – $17.21 | 7 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,241.65 | not published | 0 |
| Providence St Joseph Hospital Orange | Orange | $1,241.65 | not published | 0 |
| Sequoia Hospital | Redwood City | $1,397.76 | $844.80 – $3,340.80 | 8 |
| Providence Little Co of Mary Med Center San Pedro | San Pedro | $1,448.59 | $9.30 – $17.21 | 7 |
| Providence Saint Joseph Medical Center | Burbank | $1,448.59 | $9.30 – $17.21 | 7 |
| Providence Saint John's Health Center | Santa Monica | $1,448.59 | $9.30 – $17.21 | 7 |
| Glendale Memorial Hospital Health Center | Glendale | $1,618.27 | $794.24 – $3,971.20 | 12 |
| Community Hospital San Bernardino | San Bernardino | $1,657.45 | $890.19 – $4,239.00 | 12 |
| Dominican Hospital | Santa Cruz | $1,728.00 | $1,113.60 – $3,494.40 | 8 |
| Arroyo Grande Hospital | Santa Maria | $2,054.40 | $2,160.00 – $4,704.00 | 8 |
| Healdsburg Hospital | Healdsburg | not published | $9.30 – $10.20 | 2 |
| Providence Holy Cross Medical Center | Mission Hills | not published | $9.30 – $17.21 | 7 |