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 (VITAMIN B6) 100 MG/ML INJECTION SOLN [12396]
Arlington, TX
See all hospitals reporting HCPCS J3415 →Price type
AMH Cath Labs LLC’s median price of $48 is 66% above the median hospital's median price ($29), higher than 70% of the 1,889 hospitals reporting HCPCS J3415. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $40 | $40 | — | — | — | $40 – $40 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $45 | $45 | — | — | — | $45 – $45 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 18 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 19 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $61 | $61 | — | — | — | $61 – $61 |
| 20 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $65 | $65 | — | — | — | $65 – $65 |
| 21 | Blue Cross Blue Shield traditional fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
Last updated: Apr 21, 2026
See Vitamin B6 (pyridoxine) injection, 100 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.