Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost in Pennsylvania
indigotindisulfonate 8 MG/ML Soln 5 mL Ampule · HCPCS J9220
$902.60
lowest in Pennsylvania
$2,003.60
state median
$2,447.20
highest in Pennsylvania
$766.66
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| WellSpan Chambersburg Hospital | Chambersburg | $902.60 | $9.96 – $1,771.49 | 19 |
| WellSpan Ephrata Community Hospital | Ephrata | $2,003.60 | $11.74 – $1,274.88 | 16 |
| WellSpan Gettysburg Hospital | Gettysburg | $2,246.00 | $11.74 – $1,274.88 | 19 |
| WellSpan Good Samaritan Hospital | Lebanon | $2,447.20 | $9.96 – $1,274.88 | 19 |