Indigotindisulfonate injection, 40 mg at Boulder Community Health

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

indigotindisulfonate sodium inj per 1 mg

Boulder, CO

See all hospitals reporting HCPCS J9220 →

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How this price compares nationally

Boulder Community Health’s median price of $222 is 1349% above the median hospital's median price ($15), higher than 78% of the 1,089 hospitals reporting HCPCS J9220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9220 at Boulder Community Health

Negotiated rates from the hospital’s own file: 9 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana medicare advantage professional · fee schedule · both	$9	$9	—	—	—	$9 – $9
2	Aetna medicare advantage facility · case rate · outpatient	$9	$9	—	—	—	$9 – $9
3	Anthem medicare advantage facility · case rate · outpatient	$9	$9	—	—	—	$9 – $9
4	Humana medicare advantage facility · case rate · outpatient	$9	$9	—	—	—	$9 – $9
5	UnitedHealthcare medicare advantage facility · case rate · outpatient	$9	$9	—	—	—	$9 – $9
6	Kaiser medicare advantage facility · case rate · outpatient	$10	$10	$0	1%	—	$9 – $10
7	Devoted medicare advantage facility · case rate · outpatient	$10	$10	—	—	—	$10 – $10
8	Aetna medicare advantage professional · fee schedule · both	$10	$10	—	—	—	$10 – $10
9	UnitedHealthcare medicare advantage professional · fee schedule · both	$10	$10	$0	4%	—	$9 – $10
10	UnitedHealthcare commercial professional · fee schedule · both	$10	$10	—	—	—	$10 – $10
11	Anthem commercial professional · fee schedule · both	$10	$10	—	—	—	$10 – $10
12	Anthem managed care professional · fee schedule · both	$10	$10	—	—	—	$10 – $10
13	Cigna commercial professional · fee schedule · both	$10	$10	—	—	—	$10 – $10
14	Aetna commercial professional · fee schedule · both	$14	$14	$4	31%	—	$10 – $18
15	Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$151	$151	$11	7%	—	$141 – $162
16	Kaiser managed care facility · percent of total billed charges · outpatientfrom % of charges	$161	$161	—	—	—	$161 – $161
17	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
18	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$216	$216	—	—	—	$216 – $216
19	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$198	$229	$70	30%	—	$159 – $383
20	Anthem managed care facility · percent of total billed charges · outpatientfrom % of charges	$247	$247	—	—	—	$247 – $247
21	Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges	$257	$257	—	—	—	$257 – $257
22	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$183	$280	$167	60%	—	$142 – $514
23	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$319	$319	$97	30%	—	$222 – $416
24	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$371	$371	—	—	—	$371 – $371
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$391	$391	$169	43%	—	$222 – $560

Page 1 of 2 · 30 rates

Last updated: Sep 16, 2026

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