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
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $118 – $175 | — | — |
| Deaconess Medical Center | $108 – $114 | — | — |
| Mary Bridge Children's Hospital | $112 – $121 | — | — |
| MultiCare Auburn Medical Center | $110 – $118 | — | — |
| MultiCare Covington Medical Center | $110 – $118 | — | — |
| MultiCare Good Samaritan Hospital | $112 – $121 | — | — |
| MultiCare Valley Hospital | $107 – $113 | — | — |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | — | — |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | — | — |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Tacoma General Allenmore Hospital | $112 – $121 | — | — |
| Virginia Mason Medical Center | — | — | — |
| Yakima Valley Memorial | $107 – $125 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.