Vitamin supplement, 100 capsules

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Dialysis/stress vitamin supplement, oral, 100 capsules

Blue Cross Blue Shield pricing summary

Low

Average

$48

Median

$47

High

$198

Blue Cross Blue Shield rate distribution

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175 hospital rates

#		Plans
1	AdventHealth Avista Louisville, CO fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
2	AdventHealth Castle Rock Castle Rock, CO fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
3	AdventHealth Littleton Littleton, CO fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
4	AdventHealth Parker Aurora, CO fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
5	AdventHealth Porter Denver, CO fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18
6	Adventhealth Central Texas Killeen, TX fee schedule · outpatient	2	$79	$79	$6	7%	—	$74 – $85
7	Adventhealth Rollins Brook Lampasas, TX fee schedule · outpatient	2	$79	$79	$6	7%	—	$74 – $85
8	Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient	1	$68	$68	—	—	—	$68 – $68
9	Berger Hospital Circleville, OH fee schedule · outpatient	3	$64	$64	—	—	—	$64 – $64
10	Billings Clinic Billings, MT fee schedule · outpatient	1	$38	$38	—	—	—	$38 – $38
11	Blessing Hospital Quincy, IL professional · fee schedule · both	1	$10	$10	—	—	—	$10 – $10
12	Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient	3	$57	$59	$3	5%	—	$57 – $62
13	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11
14	Covenant Medical Center Lubbock, TX fee schedule · outpatient	4	$72	$72	$0	0%	—	$72 – $73
15	Danbury Hospital New Milford, CT fee schedule · outpatient	4	$15	$15	$1	6%	—	$14 – $17
16	Doctors Hospital Columbus, OH fee schedule · outpatient	2	$23	$23	—	—	—	$23 – $23
17	Dublin Methodist Hospital Dublin, OH fee schedule · outpatient	2	$23	$23	—	—	—	$23 – $23
18	Edward Hospital Plainfield, IL fee schedule · outpatient	1	$124	$124	—	—	—	$124 – $124
19	Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient	1	$124	$124	—	—	—	$124 – $124
20	Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient	3	$197	$198	$13	7%	—	$182 – $214
21	Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
22	FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11
23	GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient	3	$12	$12	—	—	—	$12 – $12
24	Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient	2	$11	$11	—	—	—	$11 – $11
25	Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11