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
$2.5k
Median
$2.1k
High
$7.5k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 3.8× 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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19 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 5 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Pekin Memorial Hospital Pekin, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Pekin Memorial Hospital Pekin, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Proctor Community Hospital Peoria, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Proctor Community Hospital Peoria, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | The Carle Foundation Hospital Urbana, IL fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | The Carle Foundation Hospital Urbana, IL fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 18 | The Chester County Hospital West Chester, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 19 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
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