Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in Missouri

indigotindisulfonate 8 MG/ML Soln 5 mL Ampule · HCPCS J9220

Hospital City Cash price Negotiated range Payers
SSM Health St. Joseph Hospital - Lake Saint Louis Lake Saint Louis not published $9.30 – $11.16 5
SSM Health St. Mary's Hospital - St. Louis Richmond Heights not published $9.30 – $11.16 5
SSM Health St. Joseph Hospital - St. Charles Saint Charles not published $9.30 – $11.16 5
SSM Health Cardinal Glennon Children's Hospital Saint Louis not published $11.62 – $11.62 1
SSM Health St. Joseph Hospital- Wentzville Wentzville not published $11.65 – $11.65 1
SSM Health Saint Louis University Hospital Saint Louis not published $9.11 – $11.16 6
SSM Health DePaul Hospital - St. Louis Bridgeton not published $9.30 – $11.16 5
SSM Health St. Clare Hospital - Fenton Fenton not published $9.30 – $11.16 5