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
$63
Median
$23
High
$1.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
2086 hospitals; the 90th percentile is 11.5× 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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3,403 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 30 | $14 – $16 |
| 2 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 3 | $326 | $222 | $147 | 66% | 26 | $15 – $326 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 3 | $58 | $45 | $22 | 50% | 17 | $14 – $64 |
| 4 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 3 | $53 | $41 | $20 | 48% | 17 | $14 – $58 |
| 5 | Alton Memorial Hospital Alton, IL fee schedule · both | 2 | $15 | $15 | $1 | 8% | 12–21 | $14 – $16 |
| 6 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | 11 | $132 – $132 |
| 7 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 3 | $208 | $208 | — | — | 3–30 | $208 – $208 |
| 8 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $58 | $16 | 28% | 3–30 | $36 – $75 |
| 9 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $10 | $10 | $0 | 3% | 2–20 | $10 – $10 |
| 10 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 2 | $348 | $290 | $83 | 28% | 2–20 | $173 – $348 |
| 11 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | 2–20 | $122 – $122 |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $150 | $153 | $95 | 62% | 2–20 | $56 – $257 |
| 13 | Christian Hospital St. Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 2–20 | $14 – $16 |
| 14 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $78 | $83 | $38 | 46% | 2–20 | $30 – $132 |
| 15 | Cottage Grove Community Medical Ct Cottage Grove, OR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $128 | $128 | $51 | 40% | 2–20 | $77 – $178 |
| 16 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 5 | $16 | $16 | $1 | 7% | 2–20 | $14 – $16 |
| 17 | Hospital Authority of Colquitt County Moultrie, GA percent of total billed charges · bothfrom % of charges | 1 | $177 | $177 | $5 | 3% | 2–20 | $172 – $182 |
| 18 | Missouri Baptist Medical Center Saint Louis, MO fee schedule · both | 2 | $15 | $15 | $1 | 8% | 2–20 | $14 – $16 |
| 19 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $70 | $70 | $42 | 60% | 2–20 | $28 – $112 |
| 20 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $41 | 61% | 2–20 | $26 – $107 |
| 21 | Rumford Hospital Rumford, ME percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | — | — | 2–20 | $62 – $62 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $148 | $148 | $8 | 6% | 2–20 | $138 – $158 |
| 23 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $51 | $7 | 14% | 2–20 | $41 – $62 |
| 24 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $5 | 10% | 2–20 | $42 – $52 |
| 25 | Stony Brook University Hospital Stony Brook, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 2–20 | $30 – $30 |
← Payers reporting CPT 84597 · Snapshot 20261112T124536Z-e251e855