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
Riboflavin 5?phos opth<=3ml
Circleville, OH
See all hospitals reporting HCPCS J2787 →Price type
Berger Hospital’s median price of $14.8k is 261% above the median hospital's median price ($4.1k), higher than 97% of the 926 hospitals reporting HCPCS J2787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 4 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 | Aetna all commercial plans fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 2 | Blue Cross Blue Shield anthem blue access hmo/ppo fee schedule · outpatient | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 3 | Blue Cross Blue Shield pathway exchange fee schedule · outpatient | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
Last updated: Apr 1, 2026
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