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
$1
Average
$101
Median
$54
High
$3.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1688 hospitals; the 90th percentile is 15.6× 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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2,354 hospital rates
iThe hospitals that file a Cigna 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 | Piedmont Columbus Regional - Midtown Columbus, GA percent of total billed charges · bothfrom % of charges | 4 | $159 | $162 | $23 | 14% | 27–45 | $132 – $196 |
| 2 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $110 | $110 | $13 | 12% | 18 | $96 – $123 |
| 3 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $106 | — | — | 9–90 | $106 – $106 |
| 4 | Lake Regional Health System Osage Beach, MO percent of total billed charges · bothfrom % of charges | 2 | $352 | $352 | — | — | 4–40 | $352 – $352 |
| 5 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $148 | $148 | $29 | 20% | 2–20 | $119 – $177 |
| 6 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $148 | $148 | $29 | 20% | 2–20 | $119 – $177 |
| 7 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | — | — | 2–20 | $41 – $41 |
| 8 | Alton Memorial Hospital Alton, IL fee schedule · both | 3 | $29 | $26 | $5 | 19% | 1–10 | $19 – $29 |
| 9 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 3 | $33 | $28 | $6 | 22% | 1–10 | $19 – $33 |
| 10 | Barnes Jewish St. Peters Hospital St. Peters, MO fee schedule · both | 3 | $29 | $26 | $5 | 19% | 1–10 | $19 – $29 |
| 11 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 12 | Central Maine Medical Center Lewiston, ME percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 13 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · outpatientfrom % of charges | 1 | $777 | $777 | — | — | 1–10 | $777 – $777 |
| 14 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | 1–10 | $129 – $129 |
| 15 | Cooley Dickinson Hospital Northampton, MA percent of total billed charges · outpatientfrom % of charges | 1 | $147 | $147 | — | — | 1–10 | $147 – $147 |
| 16 | Duke University Hospital Durham, NC facility · other · outpatient | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 17 | Duke University Hospital Raleigh, NC facility · other · outpatient | 1 | $36 | $36 | — | — | 1–10 | $36 – $36 |
| 18 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $44 | $44 | — | — | 1–10 | $44 – $44 |
| 19 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 20 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | 1–10 | $63 – $63 |
| 21 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN fee schedule · both | 6 | $15 | $14 | $2 | 15% | 1–10 | $10 – $16 |
| 22 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS fee schedule · both | 6 | $14 | $14 | $0 | 0% | 1–10 | $14 – $14 |
| 23 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN fee schedule · both | 6 | $14 | $14 | $0 | 0% | 1–10 | $14 – $14 |
| 24 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $99 | $99 | $4 | 4% | 1–10 | $95 – $104 |
| 25 | Memorial Hospital Shiloh, IL fee schedule · both | 3 | $29 | $26 | $5 | 19% | 1–10 | $19 – $29 |
← Payers reporting CPT 84597 · Snapshot 20261111T120946Z-9134e7f7