Indigotindisulfonate 8 mg/ml soln 5 ml ampule cost at US hospitals

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

$38.88

lowest cash price

$766.66

national median

$3,985.00

highest cash price

245

hospitals with a published cash price

Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $38.88–$3,985.00 — the variation is the story.

Most expensive published cash price

$3,985.00

LEWISGALE MEDICAL CENTER — ROANOKE, VA

Median cash price over time

Dec 1, 2025 ($785.83) → Sep 1, 2026 ($1,492.72)

By state

State Hospitals Lowest cash Median Highest
Alaska 2 $822.97 $822.97 $1,801.50
Arizona 1 $2,486.45 $2,486.45 $2,486.45
Arkansas 2 $77.19 $77.19 $1,243.75
California 49 $488.98 $701.68 $2,054.40
Colorado 13 $232.12 $232.12 $232.12
Florida 54 $96.20 $276.00 $2,498.39
Georgia 2 $1,483.20 $1,483.20 $1,483.20
Hawaii 1 $939.75 $939.75 $939.75
Illinois 16 $38.88 $1,320.20 $2,697.45
Indiana 10 $3,299.81 $3,299.81 $3,299.81
Iowa 11 not published by hospital not published by hospital not published by hospital
Kansas 2 $1,404.35 $1,404.35 $1,404.35
Kentucky 8 $1,968.00 $3,299.81 $3,299.81
Maine 3 not published by hospital not published by hospital not published by hospital
Michigan 8 not published by hospital not published by hospital not published by hospital
Minnesota 10 $324.92 $324.92 $577.56
Missouri 12 $216.01 $216.01 $1,111.57
Montana 1 $1,053.17 $1,053.17 $1,053.17
New Hampshire 1 not published by hospital not published by hospital not published by hospital
New Jersey 1 not published by hospital not published by hospital not published by hospital
New York 15 not published by hospital not published by hospital not published by hospital
North Carolina 12 $785.83 $785.83 $785.83
North Dakota 2 $1,292.89 $1,292.89 $1,292.89
Ohio 35 $187.20 $586.73 $2,256.00
Oklahoma 2 $73.12 $73.12 $1,749.80
Oregon 9 $71.09 $690.90 $1,754.39
Pennsylvania 4 $902.60 $2,003.60 $2,447.20
South Carolina 2 not published by hospital not published by hospital not published by hospital
South Dakota 2 $608.40 $608.40 $608.40
Tennessee 20 $355.08 $743.42 $1,995.84
Texas 54 $744.00 $1,080.00 $2,917.89
Virginia 26 $355.08 $2,618.00 $3,985.00
Washington 25 $93.94 $143.84 $1,303.84
West Virginia 2 $702.81 $702.81 $702.81
Wisconsin 3 $48.71 $48.71 $48.71

All hospitals

Hospital Location Cash price Negotiated range
San Rafael Medical Center SAN RAFAEL, CA $701.68 $10.00 – $10.00
Santa Rosa Medical Center SANTA ROSA, CA $701.68 $10.00 – $10.00
South San Francisco Medical Center SOUTH SAN FRANCISCO, CA $701.68 $10.00 – $10.00
South Sacramento Medical Center SACRAMENTO, CA $701.68 $10.00 – $10.00
Vacaville Medical Center VACAVILLE, CA $701.68 $10.00 – $10.00
Walnut Creek Medical Center WALNUT CREEK, CA $701.68 $10.00 – $10.00
Vallejo Medical Center VALLEJO, CA $701.68 $10.00 – $10.00
Antioch Medical Center ANTIOCH, CA $701.68 $10.00 – $10.00
Fremont Medical Center FREMONT, CA $701.68 $10.00 – $10.00
Fresno Medical Center FRESNO, CA $701.68 $10.00 – $10.00
Roseville Medical Center ROSEVILLE, CA $701.68 $10.00 – $10.00
San Jose Medical Center SAN JOSE, CA $701.68 $10.00 – $10.00
San Francisco Medical Center SAN FRANCISCO, CA $701.68 $10.00 – $10.00
Camden Clark Medical Center Parkersburg, WV $702.81 $9.30 – $16.28
West Virginia University Hospitals Morgantown, WV $702.81 $6.04 – $39.40
Cumberland Medical Center, Inc. Crossville, TN $743.42 $9.47 – $10.90
Methodist Dallas Medical Center Dallas, TX $744.00 $9.30 – $963.65
Methodist Midlothian Medical Center Midlothian, TX $744.00 $9.30 – $25.11
Methodist Richardson Medical Center Richardson, TX $744.00 $9.30 – $963.65
Roane County Medical Center Harriman, TN $766.66 $8.84 – $2,090.88
Fort Loudoun Medical Center Lenoir City, TN $766.66 $8.84 – $2,090.88
Fort Sanders Regional Medical Center Knoxville, TN $766.66 $8.84 – $10.90
Methodist Medical Center of Oak Ridge Oak Ridge, TN $766.66 $8.84 – $2,090.88
Atrium Health Anson Wadesboro, NC $785.83 $10.16 – $1,493.07
Atrium Health Mercy Charlotte, NC $785.83 $10.16 – $1,445.92
Atrium Health Pineville Charlotte, NC $785.83 $10.16 – $1,445.92
Atrium Health Stanly Albermarle, NC $785.83 $10.16 – $1,508.78
Atrium Health Behavioral Health Charlotte Charlotte, NC $785.83 $298.61 – $1,571.65
Atrium Health Cleveland Shelby, NC $785.83 $10.16 – $1,493.07
Atrium Health Cabarrus Concord, NC $785.83 $10.16 – $1,493.07
Atrium Health Lincoln Lincolnton, NC $785.83 $10.16 – $1,493.07
Atrium Health Union Monroe, NC $785.83 $10.16 – $1,493.07
Carolinas Rehabilitation Charlotte Charlotte, NC $785.83 $10.16 – $1,445.92
Atrium Health University City Charlotte, NC $785.83 $10.16 – $1,445.92
Atrium Health Carolinas Medical Center Charlotte, NC $785.83 $10.16 – $1,414.49
SONORA COMMUNITY HOSPITAL Sonora, CA $795.60 $9.30 – $26.40
Providence Kodiak Island Medical Center Kodiak, AK $822.97 not published
Swedish Medical Center Cherry Hill Seattle, WA $866.40 not published
Swedish Issaquah Issaquah, WA $866.40 not published
Swedish Medical Center - First Hill Campus Seattle, WA $866.40 not published
Swedish Edmonds Hospital Edmonds, WA $866.40 not published
St. Bernardine Medical Center San Bernardino, CA $876.13 $526.20 – $2,236.35
WellSpan Chambersburg Hospital Chambersburg, PA $902.60 $9.96 – $1,771.49
STONECREST MEDICAL CENTER Smyrna, TN $933.12 $12.00 – $24.65
Moanalua Medical Center HONOLULU, HI $939.75 $10.00 – $10.00
SPOTSYLVANIA REGIONAL MEDICAL CENTER Fredericksburg, VA $982.80 $24.65 – $24.65
HCA FLORIDA PUTNAM HOSPITAL Palatka, FL $985.00 $27.90 – $27.90
HCA HOUSTON SOUTHEAST PASADENA, TX $1,039.27 $15.35 – $24.68
St Patrick Hospital - Broadway Campus Missoula, MT $1,053.17 not published
BAYLOR SCOTT & WHITE HEART AND VASCULAR HOSPITAL - WAXAHACHIE Waxahachie, TX $1,080.00 $3.46 – $32.40

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