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
HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION
Low
$5
Average
$2.4k
Median
$1.6k
High
$5.1k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 5.3× 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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39 hospital rates
iThe hospitals that file a Premera 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 4 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $558 | $558 | $186 | 33% | — | $372 – $744 |
| 6 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 3 | $4.7k | $5.1k | $484 | 10% | — | $4.7k – $5.8k |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 9 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 3 | $4.7k | $5.1k | $484 | 10% | — | $4.7k – $5.8k |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 13 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $998 | $998 | — | — | — | $998 – $998 |
| 14 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · both | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Mount Carmel East Reynoldsburg, OH facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Mount Carmel Grove City Grove City, OH facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · fee schedule · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 3 | $4.7k | $5.1k | $484 | 10% | — | $4.7k – $5.8k |
| 19 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 3 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 20 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 3 | $4.7k | $5.1k | $484 | 10% | — | $4.7k – $5.8k |
| 21 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 3 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 3 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 23 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 24 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
← Payers reporting HCPCS J3424 · Snapshot 20261111T120946Z-9134e7f7