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 |
|---|---|---|---|
| Newark Wayne Community Hospital | Newark, NY | $4.80 | $0.63 – $4.88 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | $4.80 | $0.64 – $4.24 |
| Barnesville Hospital | Barnesville, OH | $5.05 | $2.38 – $2.38 |
| Uniontown Hospital | Uniontown, PA | $5.05 | $1.06 – $1.06 |
| Henry Ford Genesys Hospital | Grand Blanc Twp, MI | $5.07 | $1.85 – $6.73 |
| CHI Health St. Mary's | Nebraska City, NE | $5.31 | $1.38 – $6.15 |
| Summersville Regional Medical Center | Summersville, WV | $5.34 | $2.27 – $2.27 |
| ADVENTIST HEALTH DELANO | Delano, CA | $5.40 | $6.51 – $34.83 |
| WellSpan Chambersburg Hospital | Chambersburg, PA | $5.40 | $0.69 – $4.86 |
| WellSpan Waynesboro Hospital | Waynesboro, PA | $5.40 | $0.76 – $3.06 |
| Camden Clark Medical Center | Parkersburg, WV | $5.50 | $1.06 – $1.06 |
| West Virginia University Hospitals | Morgantown, WV | $5.50 | $0.64 – $1.06 |
| The Unity Hospital of Rochester | Rochester, NY | $5.91 | $0.63 – $4.24 |
| Jewish Hospital | Cincinnati, OH | $6.00 | not published |
| Anderson Hospital | Cincinnati, OH | $6.00 | not published |
| Clermont Hospital | Batavia, OH | $6.00 | not published |
| Kings Mills Hospital | Mason, OH | $6.00 | not published |
| Fairfield Hospital | Fairfield, OH | $6.00 | not published |
| Mercy West Hospital | Cincinnati, OH | $6.00 | not published |
| Marcum Wallace Hospital | Irvine, KY | $6.00 | not published |
| Reynolds Memorial Hospital | Glen Dale, WV | $6.15 | $2.27 – $2.27 |
| MercyOne Waterloo Medical Center | Waterloo, IA | $6.60 | $0.56 – $5.89 |
| MercyOne Oelwein Medical Center | Oelwein, IA | $6.60 | $2.52 – $6.60 |
| MercyOne Newton Medical Center | Newton, IA | $6.60 | $4.29 – $6.60 |
| UPMC Bedford | Everett, PA | $6.60 | $0.63 – $7.20 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON, FL | $6.75 | $0.65 – $1.44 |
| CHI St. Vincent Morrilton | Morrilton, AR | $6.88 | $2.01 – $7.94 |
| UPMC Jameson | New Castle, PA | $7.00 | $0.63 – $1.89 |
| Mercy Hospital Lincoln | Troy, MO | $7.15 | $0.86 – $0.86 |
| Mercy Hospital Logan County | Guthrie, OK | $7.15 | $0.83 – $1.27 |
| Mercy Hospital Pittsburg | Pittsburg, KS | $7.15 | $0.64 – $1.43 |
| Mercy Hospital Southeast | Cape Girardeau, MO | $7.15 | $1.62 – $1.62 |
| Mercy Hospital Tishomingo | Tishomingo, OK | $7.15 | $0.83 – $1.27 |
| Mercy Hospital Watonga | Watonga, OK | $7.15 | $0.83 – $1.27 |
| Mercy Orthopedic Hospital Springfield | Ozark, MO | $7.15 | $0.64 – $2.54 |
| Mercy Orthopedic Hospital Fort Smith | Fort Smith, AR | $7.15 | $0.76 – $5.06 |
| Mercy Hospital Ardmore | Northwest Ardmore, OK | $7.15 | $0.83 – $2.15 |
| Mercy Hospital Aurora | Aurora, MO | $7.15 | $0.64 – $2.23 |
| Mercy Hospital Healdton | Healdton, OK | $7.15 | $0.83 – $1.27 |
| Mercy Hospital Kingfisher | Kingfisher, OK | $7.15 | $0.83 – $1.27 |
| MercyOne Clinton Medical Center | Clinton, IA | $7.20 | $0.54 – $5.00 |
| MercyOne Centerville Medical Center | Centerville, IA | $7.20 | $0.56 – $5.00 |
| MercyOne North Iowa Medical Center | Mason City, IA | $7.20 | $0.61 – $7.20 |
| Northridge Hospital Medical Center | Northridge, CA | $7.26 | $1.45 – $26.00 |
| UPMC Northwest | Seneca, PA | $7.40 | $0.63 – $4.82 |
| Rose de Lima Hospital | Henderson, NV | $7.44 | $0.99 – $17.94 |
| Urbana Hospital | Urbana, OH | $7.50 | not published |
| Springfield Medical Center | Springfield, OH | $7.50 | not published |
| St Elizabeth Youngstown Hospital | Youngstown, OH | $7.50 | not published |
| St Elizabeth Boardman Hospital | Youngstown, OH | $7.50 | not published |
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