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
$1
Average
$49
Median
$31
High
$2.0k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
849 hospitals; the 90th percentile is 4.9× 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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1,091 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $41 | $41 | $15 | 36% | 35–44 | $26 – $56 |
| 2 | Parkland Health Dallas, TX facility · other · both | 4 | $61 | $62 | $36 | 58% | 15–33 | $26 – $100 |
| 3 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $46 | $46 | — | — | 2–20 | $46 – $46 |
| 4 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $34 | $34 | $3 | 9% | 2–20 | $31 – $37 |
| 5 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $72 | $72 | $26 | 36% | 2–20 | $46 – $99 |
| 6 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $69 | $61 | $15 | 24% | 2–20 | $34 – $69 |
| 7 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 8 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $24 | $24 | — | — | 1–10 | $24 – $24 |
| 9 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 1–10 | $61 – $61 |
| 10 | Appalachian Regional Healthcare, Inc. Whitesburg, KY fee schedule · outpatient | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 11 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $49 | — | — | 1–10 | $49 – $49 |
| 12 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 13 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $28 | $28 | — | — | 1–10 | $28 – $28 |
| 14 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 15 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | 1–10 | $128 – $128 |
| 16 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 2 | $47 | $47 | $17 | 36% | 1–10 | $30 – $65 |
| 17 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 18 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 2 | $28 | $28 | $3 | 11% | 1–10 | $25 – $32 |
| 19 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | 1–10 | $82 – $82 |
| 20 | Nor-Lea Hospital District Lovington, NM facility · fee schedule · both | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 21 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 22 | Public Hospital District No 4 King County WA Snoqualmie, WA other · both | 2 | $106 | $106 | $1 | 1% | 1–10 | $105 – $107 |
| 23 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $21 | $21 | $8 | 37% | 1–10 | $13 – $28 |
| 24 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 25 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
← Payers reporting CPT 84207 · Snapshot 20261111T120946Z-9134e7f7