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
Boulder, CO
See all hospitals reporting HCPCS J2787 →Price type
Boulder Community Health’s median price of $2.3k is 43% below the median hospital's median price ($4.1k), higher than 18% of the 929 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: 5 payers, 9 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 | Humana medicare advantage professional · fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Aetna medicare advantage professional · fee schedule · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | UnitedHealthcare commercial professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | Anthem commercial professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Anthem managed care professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Cigna commercial facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 8 | Cigna commercial professional · fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 9 | Aetna commercial professional · fee schedule · both | $3.2k | $3.2k | $963 | 31% | — | $2.2k – $4.1k |
Last updated: Sep 16, 2026
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