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
Longview, TX
See all hospitals reporting HCPCS J2787 →Price type
Good Shepherd Medical Center - Longview’s median price of $5.5k is 33% above the median hospital's median price ($4.1k), higher than 73% 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: 3 payers, 8 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 mm fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 2 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 3 | UnitedHealthcare all payer fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 4 | UnitedHealthcare hix fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 5 | Bcbs Tx heb fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 6 | Bcbs Tx hmo fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
Last updated: Jan 12, 2026
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