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
Low
$0
Average
$4.9k
Median
$4.1k
High
$25.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
271 hospitals; the 90th percentile is 4.2× 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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362 hospital rates
iThe hospitals that file a Aetna 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 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $11.2k | $14.4k | $7.6k | 52% | 4–40 | $8.1k – $29.1k |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $9.4k | $9.4k | $553 | 6% | 2–20 | $8.9k – $10.0k |
| 3 | Cooperman Barnabas Medical Center Livingston, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $5.3k | $5.3k | $404 | 8% | — | $4.9k – $5.7k |
| 5 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH fee schedule · outpatient | 1 | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 6 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 7 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $3.0k | $3.1k | $928 | 30% | — | $2.0k – $4.3k |
| 8 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 5 | $1.9k | $2.7k | $1.2k | 43% | — | $1.6k – $4.3k |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 12 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 13 | AdventHealth Avista Louisville, CO fee schedule · outpatient | 2 | $4.1k | $4.1k | $457 | 11% | — | $3.7k – $4.6k |
| 14 | AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient | 2 | $4.1k | $4.1k | $457 | 11% | — | $3.7k – $4.6k |
| 15 | AdventHealth Littleton Littleton, CO fee schedule · outpatient | 2 | $4.1k | $4.1k | $457 | 11% | — | $3.7k – $4.6k |
| 16 | AdventHealth Parker Aurora, CO fee schedule · outpatient | 2 | $4.1k | $4.1k | $457 | 11% | — | $3.7k – $4.6k |
| 17 | AdventHealth Porter Denver, CO fee schedule · outpatient | 2 | $4.1k | $4.1k | $457 | 11% | — | $3.7k – $4.6k |
| 18 | Advocate Illinois Masonic Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | $2.4k | 52% | — | $2.2k – $7.0k |
| 19 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $5.7k | $5.7k | $0 | 0% | — | $5.7k – $5.7k |
| 20 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $3.5k | $3.5k | $103 | 3% | — | $3.4k – $3.6k |
| 21 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 3 | $3.6k | $4.2k | $873 | 21% | — | $3.4k – $5.4k |
| 22 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · inpatientfrom % of charges | 5 | $7.7k | $8.1k | $2.7k | 33% | — | $5.0k – $12.8k |
| 23 | Atrium Health Hospitals Inc Kings Mountain, NC percent of total billed charges · outpatientfrom % of charges | 5 | $8.7k | $8.4k | $2.9k | 34% | — | $4.4k – $12.8k |
| 24 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · inpatientfrom % of charges | 5 | $7.7k | $8.5k | $3.1k | 36% | — | $5.0k – $14.1k |
| 25 | Atrium Health Hospitals Inc Lincolnton, NC percent of total billed charges · outpatientfrom % of charges | 5 | $8.7k | $8.8k | $3.2k | 37% | — | $4.4k – $14.1k |
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