Riboflavin 5'phos opth<=3ml cost in Indiana

Riboflavin 5'Phos opth<=3ml · HCPCS J2787

Hospital City Cash price Negotiated range Payers
Parkview Whitley Hospital & Parkview Kosciusko Hospital Columbia City not published $3,561.59 – $4,514.40 3
Parkview Ortho Hospital Fort Wayne not published $3,561.59 – $4,514.40 3
Parkview Noble Hospital Kendallville not published $3,561.59 – $4,514.40 3
Parkview Wabash Hospital Wabash not published $3,561.59 – $4,514.40 3
Parkview Logansport Hospital Logansport not published $3,990.00 – $3,990.00 1
Parkview LaGrange Hospital Lagrange not published $3,561.59 – $4,514.40 3
Parkview Huntington Hospital Huntington not published $3,561.59 – $4,514.40 3
Parkview DeKalb Hospital Auburn not published $3,561.59 – $4,514.40 3
Parkview Regional Medical Center & Parkview Hospital Randallia Fort Wayne not published $3,561.59 – $4,514.40 3