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 Vitamin K Level (Mayo)
Low
$8
Average
$90
Median
$60
High
$661
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
70 payers; the 90th percentile is 9.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +35 other terms | 851 | $14 | $18 | $28 | 151% | 72–180 | $1 – $457 |
| 2 | Anthem fee schedule · outpatient · +26 other terms | 236 | $19 | $27 | $29 | 106% | 27–81 | $2 – $289 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +32 other terms | 580 | $21 | $37 | $41 | 112% | 26–116 | $1 – $457 |
| 4 | Optum fee schedule · outpatient · +19 other terms | 68 | $14 | $19 | $18 | 95% | 16 | $13 – $164 |
| 5 | Bcbs Mt fee schedule · outpatient · +1 other terms | 1 | $31 | $31 | — | — | 16 | $31 – $31 |
| 6 | Humana fee schedule · outpatient · +29 other terms | 569 | $14 | $35 | $52 | 147% | 9–90 | $1 – $527 |
| 7 | Aetna fee schedule · outpatient · +32 other terms | 769 | $18 | $61 | $350 | 576% | 4–40 | $0 – $8.4k |
| 8 | Molina fee schedule · outpatient · +29 other terms | 319 | $15 | $17 | $14 | 79% | 3–30 | $1 – $267 |
| 9 | Cigna fee schedule · outpatient · +26 other terms | 531 | $28 | $35 | $39 | 110% | 2–20 | $5 – $627 |
| 10 | Ambetter fee schedule · outpatient · +20 other terms | 125 | $22 | $22 | $20 | 88% | 2–20 | $9 – $190 |
| 11 | Caresource fee schedule · outpatient · +16 other terms | 113 | $16 | $23 | $37 | 162% | 1–10 | $1 – $508 |
| 12 | Regence fee schedule · outpatient · +16 other terms | 32 | $14 | $24 | $29 | 122% | 1–10 | $9 – $204 |
| 13 | WellCare fee schedule · outpatient · +21 other terms | 323 | $14 | $16 | $14 | 88% | — | $10 – $254 |
| 14 | Devoted fee schedule · outpatient · +15 other terms | 188 | $14 | $14 | $0 | 2% | — | $13 – $15 |
| 15 | Oscar fee schedule · outpatient · +17 other terms | 168 | $27 | $29 | $10 | 34% | — | $13 – $42 |
| 16 | Cigna Healthspring fee schedule · outpatient · +8 other terms | 146 | $14 | $14 | $1 | 11% | — | $8 – $23 |
| 17 | Kaiser fee schedule · outpatient · +19 other terms | 127 | $14 | $19 | $19 | 103% | — | $5 – $238 |
| 18 | Aetna Better Health fee schedule · outpatient · +18 other terms | 118 | $12 | $13 | $1 | 10% | — | $7 – $15 |
| 19 | MultiPlan fee schedule · outpatient · +19 other terms | 115 | $66 | $139 | $162 | 116% | — | $14 – $826 |
| 20 | Tricare facility · fee schedule · outpatient · +16 other terms | 107 | $13 | $20 | $41 | 205% | — | $6 – $327 |
| 21 | First Health fee schedule · outpatient · +16 other terms | 68 | $22 | $30 | $55 | 182% | — | $12 – $339 |
| 22 | Highmark facility · fee schedule · outpatient · +17 other terms | 63 | $25 | $44 | $44 | 101% | — | $9 – $190 |
| 23 | Medicaid facility · fee schedule · outpatient · +14 other terms | 60 | $14 | $14 | $4 | 26% | — | $6 – $38 |
| 24 | Superior Healthplan fee schedule · outpatient · +6 other terms | 60 | $14 | $39 | $32 | 82% | — | $12 – $254 |
| 25 | Amerihealth Caritas fee schedule · outpatient · +12 other terms | 58 | $14 | $14 | $5 | 35% | — | $2 – $29 |
← Hospitals reporting CPT 84597 · Snapshot 20261111T120946Z-9134e7f7