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
PYRIDOXINE 25 MG/ML ENTERAL LIQUID CMPD
Low
$0
Average
$67
Median
$64
High
$294
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 7.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 286 | $22 | $27 | $27 | 101% | 1–10 | $1 – $603 |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 482 | $26 | $28 | $16 | 58% | — | $1 – $265 |
| 3 | Cigna fee schedule · outpatient · +22 other terms | 376 | $24 | $38 | $33 | 86% | — | $1 – $244 |
| 4 | Aetna fee schedule · outpatient · +24 other terms | 265 | $26 | $45 | $144 | 323% | — | $1 – $4.0k |
| 5 | Humana fee schedule · outpatient · +19 other terms | 181 | $15 | $35 | $38 | 109% | — | $1 – $309 |
| 6 | Anthem fee schedule · outpatient · +19 other terms | 112 | $18 | $19 | $14 | 71% | — | $3 – $140 |
| 7 | MultiPlan fee schedule · outpatient · +17 other terms | 78 | $53 | $57 | $57 | 101% | — | $1 – $309 |
| 8 | Kaiser fee schedule · both · +14 other terms | 43 | $16 | $16 | $4 | 27% | — | $12 – $22 |
| 9 | Highmark facility · fee schedule · outpatient · +11 other terms | 42 | $7 | $7 | $7 | 103% | — | $1 – $40 |
| 10 | Caresource fee schedule · outpatient · +15 other terms | 40 | $15 | $19 | $9 | 46% | — | $1 – $45 |
| 11 | Medica fee schedule · outpatient · +15 other terms | 34 | $31 | $182 | $869 | 477% | — | $4 – $5.3k |
| 12 | Molina fee schedule · outpatient · +20 other terms | 34 | $39 | $109 | $574 | 526% | — | $1 – $4.0k |
| 13 | First Health fee schedule · outpatient · +14 other terms | 32 | $46 | $50 | $27 | 54% | — | $3 – $169 |
| 14 | Medcost percent of total billed charges · bothfrom % of charges · +5 other terms | 31 | $129 | $236 | $353 | 149% | — | $18 – $1.4k |
| 15 | Bcbs Tx fee schedule · outpatient · +3 other terms | 28 | $32 | $30 | $9 | 31% | — | $12 – $53 |
| 16 | Oscar facility · fee schedule · outpatient · +11 other terms | 27 | $16 | $14 | $4 | 31% | — | $6 – $19 |
| 17 | Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 26 | $84 | $75 | $12 | 16% | — | $59 – $91 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms | 25 | $6 | $8 | $6 | 77% | — | $6 – $28 |
| 19 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms | 21 | $43 | $55 | $31 | 57% | — | $19 – $174 |
| 20 | Phcs fee schedule · inpatient · +12 other terms | 21 | $71 | $104 | $98 | 94% | — | $5 – $353 |
| 21 | Regence professional · fee schedule · outpatient · +11 other terms | 21 | $13 | $13 | $2 | 12% | — | $13 – $19 |
| 22 | Wellmark fee schedule · outpatient · +10 other terms | 21 | $13 | $13 | $1 | 5% | — | $13 – $15 |
| 23 | Aetna Better Health fee schedule · outpatient · +11 other terms | 20 | $16 | $15 | $3 | 22% | — | $6 – $18 |
| 24 | Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms | 19 | $43 | $74 | $39 | 52% | — | $36 – $156 |
| 25 | Healthpartners fee schedule · outpatient · +8 other terms | 19 | $19 | $19 | $1 | 5% | — | $18 – $24 |
← Hospitals reporting HCPCS J3415 · Snapshot 20261111T120946Z-9134e7f7