J2787
HCPCSRiboflavin 5?phos opth<=3ml
Based on the latest published hospital price files, code J2787 (Riboflavin 5?phos opth<=3ml) appears at 4 hospitals with disclosed cash prices from $6,478 to $7,530. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Published-price availability
A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.
Compare J2787 prices
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Published cash prices for code J2787 vary by about 16% across the 2 hospitals with disclosed prices here — from $6,478 to $7,530. Shopping around can matter.
Lowest cash price by hospital
- Froedtert Hospital$7,530
Cash price by city
Reflects your current filters.
- Chicago · 1 hospital$6,478
- Milwaukee · 1 hospital$7,530
5 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Riboflavin 5?phos opth<=3ml Outpatient | Endeavor Health Edward Hospital | J2787 HCPCS | — | — | $4,180 – $4,180 | — | |
| Photrexa Cross-Linking Kit: 2 Pouch In 1 Box (25357-025-03) / 1 Pouch In 1 Pouch / 1 Syringe, Glass In 1 Pouch / 1 Kit In 1 Syringe, Glass Inpatient & outpatient | University of Chicago Medical Center | J2787 HCPCS | — | — | — | — | |
| Riboflavin 5?phos opth<=3ml Outpatient | University of Chicago Medical Center | J2787 HCPCS | — | — | — | — | |
| PHOTREXA-PHOTREXA VISCOUS KIT 0.146 0.146-20 % OP SOSY Outpatient | Advocate Illinois Masonic Medical Center | J2787 HCPCS | $12,955 | $6,478 | $4,109 – $10,934 | — | |
| riboflavin 5'-phosphate 0.146 &0.146-20 % Solution Prefilled Syringe 6 mL Box Outpatient | Froedtert Hospital | J2787 HCPCS | $13,690 | $7,530 | $2,349 – $11,842 | — |
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish J2787 prices
Open a hospital to see this code in the context of its full published prices.
Code J2787: frequently asked
- What does code J2787 cost?
- Across the published hospital price files, the disclosed cash price for J2787 ranges from $6,478 to $7,530. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code J2787?
- J2787 is the billing code hospitals use to identify "Riboflavin 5?phos opth<=3ml" on their published price files. We use it to line up the same service across different hospitals.
- Why do prices for this code differ between hospitals?
- Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.