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
$4
Average
$913
Median
$12
High
$10.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
109 hospitals; the 90th percentile is 889.2× 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.
Filter by billing methodology
Filter by billing class
109 hospital rates
iThe hospitals that file a Tricare 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 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 7 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Carlsbad Medical Center LLC Carlsbad, NM facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Central Maine Medical Center Lewiston, ME fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 15 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 16 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $5 | $5 | — | — | — | $5 – $5 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 20 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 23 | Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 24 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
← Payers reporting HCPCS J3424 · Snapshot 20261111T120946Z-9134e7f7