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.
Original text from hospital filings
HB Ref Pyridoxal 5- Phosphate, Plasma (Mayo)
Low
$17
Average
$310
Median
$88
High
$4.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 15.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +27 other terms | 248 | $31 | $51 | $56 | 111% | 418–517 | $2 – $392 |
| 2 | UnitedHealthcare fee schedule · outpatient · +37 other terms | 862 | $28 | $34 | $33 | 97% | 311–527 | $1 – $524 |
| 3 | Aetna fee schedule · outpatient · +35 other terms | 779 | $32 | $92 | $346 | 374% | 78–150 | $0 – $8.4k |
| 4 | Humana fee schedule · outpatient · +30 other terms | 577 | $28 | $65 | $85 | 131% | 45–153 | $1 – $524 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +34 other terms | 595 | $41 | $70 | $70 | 100% | 43–169 | $1 – $634 |
| 6 | Molina fee schedule · outpatient · +32 other terms | 327 | $31 | $33 | $18 | 55% | 37–64 | $1 – $266 |
| 7 | Optum fee schedule · outpatient · +20 other terms | 68 | $28 | $34 | $14 | 40% | 18 | $22 – $82 |
| 8 | Caresource fee schedule · outpatient · +17 other terms | 116 | $32 | $42 | $34 | 81% | 12–120 | $1 – $236 |
| 9 | Cigna fee schedule · outpatient · +28 other terms | 542 | $56 | $69 | $58 | 84% | 4–40 | $1 – $468 |
| 10 | Ambetter fee schedule · outpatient · +21 other terms | 125 | $46 | $42 | $16 | 38% | 3–30 | $18 – $118 |
| 11 | Bcbs Al facility · other · outpatient · +5 other terms | 4 | $17 | $18 | $2 | 11% | 3–30 | $16 – $21 |
| 12 | WellCare fee schedule · outpatient · +23 other terms | 324 | $29 | $32 | $12 | 38% | 2–20 | $13 – $164 |
| 13 | Aetna Better Health fee schedule · outpatient · +18 other terms | 118 | $25 | $27 | $16 | 58% | 1–10 | $15 – $132 |
| 14 | First Health fee schedule · outpatient · +18 other terms | 69 | $28 | $36 | $36 | 100% | 1–10 | $5 – $215 |
| 15 | Healthpartners fee schedule · outpatient · +11 other terms | 28 | $85 | $77 | $18 | 23% | 1–10 | $29 – $95 |
| 16 | Florida Blue fee schedule · outpatient · +1 other terms | 1 | $140 | $140 | $34 | 25% | 1–10 | $106 – $201 |
| 17 | Devoted fee schedule · outpatient · +16 other terms | 187 | $28 | $28 | $1 | 2% | — | $28 – $30 |
| 18 | Oscar fee schedule · outpatient · +18 other terms | 168 | $54 | $59 | $20 | 34% | — | $28 – $86 |
| 19 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 146 | $29 | $28 | $3 | 11% | — | $17 – $48 |
| 20 | Kaiser fee schedule · outpatient · +20 other terms | 129 | $28 | $27 | $28 | 104% | — | $1 – $287 |
| 21 | MultiPlan fee schedule · outpatient · +22 other terms | 117 | $94 | $144 | $145 | 101% | — | $5 – $581 |
| 22 | Tricare facility · fee schedule · outpatient · +18 other terms | 117 | $27 | $29 | $23 | 79% | — | $8 – $294 |
| 23 | Highmark facility · fee schedule · outpatient · +18 other terms | 70 | $49 | $85 | $83 | 98% | — | $19 – $389 |
| 24 | Medicaid facility · fee schedule · outpatient · +15 other terms | 69 | $28 | $29 | $6 | 22% | — | $10 – $40 |
| 25 | Medicare facility · fee schedule · outpatient · +16 other terms | 62 | $28 | $29 | $8 | 30% | — | $8 – $90 |
← Hospitals reporting CPT 84207 · Snapshot 20261111T120946Z-9134e7f7