Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution cost at US hospitals
CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION · HCPCS J3420
$1.40
lowest cash price
$25.32
national median
$247.00
highest cash price
764
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $1.40–$247.00 — the variation is the story.
Median cash price over time
Aug 1, 2025 ($53.30) → Sep 1, 2026 ($48.60)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 5 | $50.70 | $50.70 | $56.70 |
| Arizona | 6 | $9.94 | $13.29 | $16.33 |
| Arkansas | 8 | $6.88 | $21.13 | $111.41 |
| California | 75 | $5.40 | $10.57 | $84.15 |
| Colorado | 11 | $20.33 | $173.21 | $233.88 |
| Florida | 80 | $1.48 | $48.55 | $216.72 |
| Georgia | 24 | $18.96 | $31.93 | $159.70 |
| Hawaii | 2 | $12.16 | $12.16 | $14.16 |
| Illinois | 35 | $3.85 | $30.14 | $234.50 |
| Indiana | 26 | $27.70 | $42.47 | $82.54 |
| Iowa | 31 | $3.00 | $25.32 | $81.20 |
| Kansas | 6 | $7.15 | $119.29 | $131.25 |
| Kentucky | 26 | $6.00 | $24.37 | $146.90 |
| Louisiana | 1 | $10.87 | $10.87 | $10.87 |
| Maine | 7 | $34.81 | $53.30 | $112.58 |
| Maryland | 2 | $2.40 | $2.40 | $2.40 |
| Michigan | 15 | $5.07 | $5.07 | $19.39 |
| Minnesota | 16 | $24.98 | $38.53 | $62.38 |
| Mississippi | 5 | $148.54 | $170.83 | $185.68 |
| Missouri | 19 | $7.15 | $14.36 | $125.61 |
| Montana | 2 | $72.48 | $72.48 | $72.48 |
| Nebraska | 12 | $2.95 | $41.79 | $84.58 |
| Nevada | 3 | $7.44 | $11.07 | $12.26 |
| New Hampshire | 1 | $54.95 | $54.95 | $54.95 |
| New Jersey | 21 | not published by hospital | not published by hospital | not published by hospital |
| New Mexico | 2 | $39.78 | $39.78 | $56.70 |
| New York | 22 | $3.40 | $4.80 | $17.19 |
| North Carolina | 14 | $37.21 | $47.45 | $47.45 |
| North Dakota | 4 | $20.19 | $27.16 | $31.00 |
| Ohio | 68 | $1.77 | $16.36 | $28.08 |
| Oklahoma | 15 | $7.15 | $7.15 | $11.00 |
| Oregon | 13 | $9.42 | $71.09 | $78.00 |
| Pennsylvania | 33 | $3.60 | $10.80 | $101.60 |
| South Carolina | 10 | $45.00 | $45.00 | $247.00 |
| South Dakota | 5 | $60.72 | $61.72 | $62.16 |
| Tennessee | 37 | $2.93 | $17.09 | $170.83 |
| Texas | 119 | $1.40 | $25.16 | $168.08 |
| Virginia | 30 | $4.80 | $24.00 | $178.00 |
| Washington | 31 | $2.80 | $30.00 | $70.66 |
| West Virginia | 18 | $3.00 | $5.50 | $52.72 |
| Wisconsin | 34 | $4.75 | $19.12 | $81.20 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| St. Joseph Health Madison Hospital | Madisonville, TX | $1.40 | $0.38 – $2.97 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $1.40 | $1.08 – $3.30 |
| St. Joseph Health College Station Hospital | College Station, TX | $1.40 | $1.27 – $2.97 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $1.40 | $0.66 – $2.97 |
| Ascension Sacred Heart Bay (Bay County Health System, Inc.) | Panama City, FL | $1.48 | $0.82 – $1.91 |
| Parkview Bryan Hospital | Bryan, OH | $1.77 | not published |
| Parkview Montpelier Hospital | Montpelier, OH | $1.77 | not published |
| HCA FLORIDA NORTHSIDE HOSPITAL | ST PETERSBURG, FL | $2.10 | $0.65 – $0.67 |
| UPMC Western Maryland | Cumberland, MD | $2.40 | $4.00 – $4.00 |
| MultiCare Auburn Medical Center | Auburn, WA | $2.80 | not published |
| MultiCare Capital Medical Center | Olympia, WA | $2.80 | not published |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | $2.80 | not published |
| MultiCare Valley Hospital | Spokane Valley, WA | $2.80 | not published |
| Franklin Woods Community Hospital | JOHNSON CITY, TN | $2.93 | $0.30 – $1.76 |
| Johnson City Medical Center | JOHNSON CITY, TN | $2.93 | $0.30 – $1.76 |
| CHI Health Nebraska Heart | Lincoln, NE | $2.95 | $1.13 – $5.25 |
| Braxton County Memorial Hospital | Gassaway, WV | $3.00 | $2.38 – $2.38 |
| Jefferson Medical Center | Ranson, WV | $3.00 | $2.38 – $2.38 |
| Potomac Valley Hospital | Keyser, WV | $3.00 | $2.38 – $2.38 |
| MercyOne Dubuque Medical Center | Dubuque, IA | $3.00 | $1.07 – $3.00 |
| MercyOne Dyersville Medical Center | Dyersville, IA | $3.00 | $1.13 – $3.38 |
| MercyOne Cedar Falls Medical Center | Cedar Falls, IA | $3.00 | $0.71 – $3.00 |
| MercyOne West Des Moines Medical Center | West Des Moines, IA | $3.00 | $0.60 – $3.00 |
| CHI Health St. Elizabeth | Lincoln, NE | $3.20 | $1.13 – $5.12 |
| Ascension Seton Northwest (Ascension Seton) | Austin, TX | $3.33 | $1.83 – $1.83 |
| Dell Seton Medical Center at The University of Texas (Ascension Seton) | Austin, TX | $3.33 | $1.83 – $1.83 |
| Ascension Seton Medical Center Austin (Ascension Seton) | Austin, TX | $3.33 | $1.83 – $1.83 |
| St. Joseph's Hospital | Buckhannon, WV | $3.37 | $2.38 – $2.38 |
| UPMC Chautauqua | Jamestown, NY | $3.40 | $1.00 – $3.60 |
| UPMC Community Osteopathic | Harrisburg, PA | $3.60 | $0.20 – $3.10 |
| UPMC Hanover | Hanover, PA | $3.60 | $1.00 – $2.03 |
| UPMC Lititz | Lititz, PA | $3.60 | $1.00 – $2.03 |
| UPMC Memorial | York, PA | $3.60 | $1.00 – $2.03 |
| UPMC Somerset | Somerset, PA | $3.60 | $1.00 – $1.84 |
| UPMC Carlisle | Carlisle, PA | $3.60 | $0.14 – $2.03 |
| CHI Health St. Francis | Grand Island, NE | $3.78 | $1.13 – $6.02 |
| Northwestern Medicine Palos Hospital | Palos Heights, IL | $3.85 | not published |
| CHI Health Good Samaritan | Kearney, NE | $3.90 | $0.94 – $5.96 |
| Massena Hospital | Massena, NY | $3.93 | not published |
| Morrow County Hospital | Mount Gilead, OH | $4.05 | $11.85 – $19.55 |
| NewYork-Presbyterian Hudson Valley Hospital | Cortlandt Manor, NY | $4.20 | $0.95 – $1.95 |
| NewYork-Presbyterian Queens | Flushing, NY | $4.20 | $0.95 – $3.83 |
| NewYork-Presbyterian Columbia University Irving Medical Center | New York, NY | $4.20 | $0.95 – $3.83 |
| United Hospital Center | Bridgeport, WV | $4.50 | $2.38 – $2.38 |
| Virginia Mason Medical Center | Seattle, WA | $4.50 | $3.68 – $3.68 |
| Jackson General Hospital | Ripley, WV | $4.52 | $2.38 – $2.38 |
| Midwest Orthopedic Specialty Hospital | Franklin, WI | $4.75 | $1.56 – $3.96 |
| Rappahannock General Hospital | Kilmarnock, VA | $4.80 | not published |
| UPMC Altoona | Altoona, PA | $4.80 | $0.63 – $4.00 |
| Rochester General Hospital | Rochester, NY | $4.80 | $0.63 – $4.88 |
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