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
RIBOFLAV5 & RIBOFLAV5-DEXTRAN 0.146 &0.146-20 % OPHTH SOSY
Based on 302–518 billing samples across every hospital reporting.
Low
$0
Average
$4.6k
Median
$4.0k
High
$21.4k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 913 hospitals; the 90th percentile is 3.9× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $7.8k | $8.1k | $1.8k | 22% | 171–198 | $3.7k – $11.8k |
| 2 | Boston Children's Hospital Boston, MA | $16.4k | $15.8k | $3.7k | 24% | 110 | $10 – $20.9k |
| 3 | North Carolina Baptist Hospital Bermuda Run, NC | $11.2k | $14.6k | $7.8k | 54% | 11–110 | $5.1k – $30.8k |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV | $4.1k | $11.7k | $9.8k | 84% | 4–40 | $4.1k – $28.1k |
| 5 | Fairview Health Services Minneapolis, MN | $3.7k | $3.4k | $2.5k | 74% | 3–30 | $0 – $8.3k |
| 6 | Cooperman Barnabas Medical Center Livingston, NJ | $2.6k | $3.1k | $2.0k | 63% | 2–20 | $2.3k – $10.4k |
| 7 | Kaiser Foundation Hospital - Santa Clara SANTA CLARA, CA | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 8 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $2.8k | $2.8k | $398 | 14% | — | $2.4k – $3.2k |
| 9 | Beth Israel Deaconess Hospital - Needham Needham, MA | $3.1k | $3.1k | $478 | 16% | — | $2.6k – $3.6k |
| 10 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
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