Pentastarch 10% solution cost in Illinois

Pentastarch 10% solution · HCPCS J2513

Hospital City Cash price Negotiated range Payers
Uchicago Medicine Adventhealth Bolingbrook Bolingbrook not published $22.24 – $22.24 1
UnityPoint Health - Trinity Moline Rock Island not published $0.30 – $47.52 5
Advocate Good Samaritan Hospital Downers Grove not published $25.44 – $75.21 5
Advocate Condell Medical Center Libertyville not published $25.44 – $46.34 5
Advocate Christ Medical Center Oak Lawn not published $25.44 – $73.47 5
MercyOne Genesis Aledo Medical Center Aledo not published $20.53 – $299.72 2
MercyOne Genesis Silvis Medical Center Silvis not published $110.67 – $110.67 1
Advocate Trinity Hospital Chicago not published $25.44 – $75.21 5
Advocate South Suburban Hospital Hazel Crest not published $25.44 – $75.48 5
Advocate Sherman Hospital Elgin not published $25.44 – $35.40 5
Advocate Childrens Hospital - Park Ridge Park Ridge not published $25.44 – $74.50 5
Advocate Illinois Masonic Medical Center Chicago not published $25.44 – $75.70 5