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 % OP SOSY
Low
$2
Average
$4.1k
Median
$1.4k
High
$13.3k
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 4999.7× 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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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Minneapolis, MN | $2.8k | $2.8k | — | — | 3–30 | $0 – $8.3k |
| 2 | Cleveland Clinic Mercy Hospital Canton, OH | $2 | $2 | — | — | — | $2 – $5.9k |
| 3 | Fairview Hospital Cleveland, OH | $2 | $2 | — | — | — | $2 – $5.9k |
| 4 | Cleveland Clinic Health System - East Region Mayfield Heights, OH | $2 | $2 | — | — | — | $2 – $5.9k |
| 5 | Nebraska Medical Center Omaha, NE | $979 | $1.2k | $508 | 43% | — | $245 – $2.9k |
| 6 | Bellevue Medical Center Llc Bellevue, NE | $979 | $1.2k | $508 | 43% | — | $245 – $2.9k |
| 7 | Childrens Hospital of Los Angeles Angeles, CA | $1.5k | $1.5k | $801 | 52% | — | $299 – $3.2k |
| 8 | Nationwide Children's Hospital Columbus, OH | $15 | $15 | — | — | — | $15 – $15 |
| 9 | Nationwide Children's Hospital Toledo, Llc Toledo, OH | $11 | $11 | $0 | 0% | — | $11 – $11 |
| 10 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA | $6k | $7.4k | $5.6k | 76% | — | $672 – $16.4k |
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