Indigotindisulfonate injection, 40 mg at Winter Haven Hospital

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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Generated: October 20, 2026

Original text from hospital filings

INDIGOTINDISULFONATE 1 MG INJ

Haven, FL

See all hospitals reporting HCPCS J9220 →

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How this price compares nationally

Winter Haven Hospital’s median price of $146 is 854% above the median hospital's median price ($15), higher than 75% 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 Winter Haven Hospital

Negotiated rates from the hospital’s own file: 9 payers, 34 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 commercial other facility · fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
2	Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
3	Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
4	Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	—	—	—	$76 – $76
5	Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
6	Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges	$84	$84	—	—	—	$84 – $84
7	Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
8	Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
9	Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
10	UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
11	Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
12	Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
13	Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges	$105	$105	—	—	—	$105 – $105
14	Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
15	UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
16	UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
17	MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
18	MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
19	Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
20	Aetna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$148	$148	—	—	—	$148 – $148
21	First Health commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
22	First Health commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
23	Cigna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
24	Cigna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
25	UnitedHealthcare indemnity facility · percent of total billed charges · inpatientfrom % of charges	$163	$163	—	—	—	$163 – $163

Page 1 of 2 · 34 rates

Last updated: Jan 1, 2026

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