HCPCS J2513
Injection, pentastarch, 10% solution, 100 ml
Retired code17 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $80.58 | — | — |
| Deaconess Medical Center | $35.15 | — | — |
| Mary Bridge Children's Hospital | $104 – $396 | — | — |
| MultiCare Auburn Medical Center | $97.48 | — | — |
| MultiCare Covington Medical Center | $97.48 | — | — |
| MultiCare Good Samaritan Hospital | $97.48 | — | — |
| MultiCare Valley Hospital | $35.15 | — | — |
| Overlake Hospital Medical Center & Clinics | $23.66 – $38.56 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $27.04 | — | — |
| Providence Centralia Hospital | $34.07 | — | — |
| Providence Holy Family Hospital | $27.04 | — | — |
| Providence Regional Medical Center Everett | $27.04 | — | — |
| Providence St Mary Medical Center | $27.04 | — | — |
| Providence St Peter Hospital | $28.12 | — | — |
| Tacoma General Allenmore Hospital | $97.48 | — | — |
| Virginia Mason Medical Center | $39.76 – $45.12 | — | — |
| Yakima Valley Memorial | — | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.