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
$5
Average
$37
Median
$25
High
$275
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
217 hospitals; the 90th percentile is 4.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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267 hospital rates
iThe hospitals that file a Aetna Better Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $73 | — | — | 34 | $73 – $73 |
| 2 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · other · outpatient | 1 | $25 | $25 | — | — | 15–150 | $25 – $25 |
| 3 | The Carle Foundation Hospital Urbana, IL other · outpatient | 1 | $29 | $29 | — | — | 3–30 | $29 – $29 |
| 4 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 5 | Mercy Memorial Hospital Corporation Monroe, MI facility · other · outpatient | 1 | $16 | $16 | — | — | 1–10 | $16 – $16 |
| 6 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 7 | STONEWALL JACKSON HOSPITAL Weston, WV fee schedule · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 8 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 2 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | ACADIAN MEDICAL CENTER EUNICE, LA percent of total billed charges · bothfrom % of charges | 2 | $110 | $110 | — | — | — | $110 – $110 |
| 11 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 14 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 15 | Alexian Brothers Medical Center Village, IL fee schedule · inpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 16 | Alexian Brothers Medical Center Village, IL other · inpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 17 | Alexian Brothers Medical Center Village, IL other · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 19 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 20 | Appalachian Regional Healthcare, Inc. Middlesboro, KY fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Appalachian Regional Healthcare, Inc. Williamson, KY fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 22 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 23 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 24 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 25 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Payers reporting CPT 84207 · Snapshot 20261112T124536Z-e251e855