Pentastarch 10% solution cost in Oklahoma

Pentastarch 10% solution ยท HCPCS J2513

Hospital City Cash price Negotiated range Payers
SSM Health St. Anthony Hospital - Shawnee Shawnee not published $25.08 โ€“ $25.08 1
SSM Health St. Anthony Hospital - Midwest Midwest City not published $25.08 โ€“ $25.08 1
SSM Health St. Anthony Hospital - Oklahoma City Oklahoma City not published $25.08 โ€“ $25.08 1