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
Healdsburg, CA
See all hospitals reporting HCPCS J2787 →Price type
NorCal HealthConnect LLC’s median price of $3.2k is 21% below the median hospital's median price ($4.1k), higher than 40% 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: 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 | Blue Cross Blue Shield hmo/pos fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 2 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 3 | Aetna all commercial plans fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 4 | Blue Cross Blue Shield anthem ind1, inca, ncx3 all commercial plans fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
Last updated: Apr 1, 2026
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