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
Dialysis/stress vitamin supplement, oral, 100 capsules
Lubbock, TX
See all hospitals reporting HCPCS S0194 →Price type
Covenant Medical Center’s median price of $73 is 270% above the median hospital's median price ($20), higher than 94% of the 608 hospitals reporting HCPCS S0194. 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, 5 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 blue essentials hmo fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 2 | Blue Cross Blue Shield ers blue essentials for healthselect members hmo fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Blue Cross Blue Shield par traditional fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 4 | Blue Cross Blue Shield ppo fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 5 | Aetna preferred other commercial plan fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
Last updated: Apr 1, 2026
See Vitamin supplement, 100 capsules pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.