PENTASTARCH 10% SOLUTION

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

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Original text from hospital filings

Pentastarch 10% solution

Payers reporting HCPCS J2513

Payer pricing summary

Low

Average

$87

Median

$34

High

$539

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +5 other terms	174	$24	$41	$28	68%	—	$12 – $109
2	Aetna fee schedule · outpatient · +8 other terms	118	$17	$24	$29	121%	—	$0 – $153
3	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	75	$14	$20	$23	116%	—	$0 – $80
4	Humana fee schedule · outpatient · +5 other terms	73	$73	$87	$53	60%	—	$13 – $160
5	Anthem fee schedule · outpatient · +5 other terms	37	$0	$6	$29	459%	—	$0 – $153
6	Molina facility · case rate · outpatient · +4 other terms	27	$463	$326	$239	73%	—	$79 – $836
7	UnitedHealthcare fee schedule · both · +7 other terms	27	$15	$18	$5	30%	—	$15 – $45
8	Caresource facility · case rate · outpatient	15	$502	$539	$124	23%	—	$335 – $852
9	Optum facility · case rate · outpatient · +1 other terms	13	$446	$443	$189	43%	—	$75 – $756
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$16	$16	$5	29%	—	$9 – $20
11	Highmark fee schedule · outpatient · +2 other terms	12	$14	$14	$0	2%	—	$13 – $15
12	Medica fee schedule · outpatient · +4 other terms	10	$31	$31	$8	25%	—	$19 – $40
13	Ucare fee schedule · both	9	$13	$13	$0	3%	—	$12 – $13
14	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$13	$13	—	—	—	$13 – $13
15	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$86	$88	$3	3%	—	$86 – $94
16	Bcbs La fee schedule · outpatient · +1 other terms	6	$15	$15	—	—	—	$15 – $15
17	First Health facility · fee schedule · outpatient	4	$40	$40	—	—	—	$40 – $40
18	Bcbs Id facility · fee schedule · outpatient	3	$15	$13	$3	27%	—	$9 – $16
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$18	$18	—	—	—	$18 – $18
20	Bcbs Sc fee schedule · outpatient	3	$23	$23	—	—	—	$23 – $23
21	Wellmark facility · case rate · outpatient · +1 other terms	3	$271	$238	$75	32%	—	$111 – $300
22	Bcbs Vt professional · fee schedule · outpatient	2	$34	$34	$10	29%	—	$14 – $49
23	Medicaid facility · case rate · outpatient	2	$79	$79	—	—	—	$79 – $79
24	Ambetter fee schedule · outpatient	1	$396	$396	—	—	—	$396 – $396
25	Bcbs Ca facility · fee schedule · outpatient	1	$0	$0	$0	9%	—	$0 – $0

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