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CYANOCOBALAMIN 1,000 MCG/ML VL

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

NADAC acquisition cost data
CMS drug pricing benchmarks
Updated 2026-04-03
Drug acquisition cost — CYANOCOBALAMIN 1,000 MCG/ML VL
NADAC cost$1.85 per unit
Hospital charges for this drug vary — typically 3–8x the acquisition cost. No observed hospital charge data is available for this specific drug.
$1.85
NADAC acquisition cost
INJECTABLE
Dosage form
INJECTION
Route

Understanding CYANOCOBALAMIN 1,000 MCG/ML VL pricing

CYANOCOBALAMIN 1,000 MCG/ML VL is a generic medication available as a injectable administered injection. The National Average Drug Acquisition Cost (NADAC) for this drug is $1.85 per ML, which represents what pharmacies typically pay wholesalers. Hospital charges for the same medication are often significantly higher due to facility fees, compounding charges, and administration costs.

If you received a hospital bill that includes CYANOCOBALAMIN 1,000 MCG/ML VL, compare the line-item charge against the NADAC benchmark shown above. Markups of 3x to 10x above acquisition cost are common for hospital-administered medications. Patients with insurance may still face high copays if the drug is placed on a specialty tier, while uninsured patients are often billed at full chargemaster rates.

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Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Common billing errors — CYANOCOBALAMIN 1,000 MCG/ML VL charges

Hospital drug charges are one of the most common sources of billing errors. For CYANOCOBALAMIN 1,000 MCG/ML VL, watch for: duplicate charges where the same dose appears twice, quantity errors where more units are billed than administered, charges for the brand-name version when a generic was dispensed, and facility "markup" charges that exceed reasonable cost-to-charge ratios. Medications administered during an inpatient stay should generally be included in the DRG payment — separate line items may indicate unbundling.

What to check on your bill

Review your itemized bill for CYANOCOBALAMIN 1,000 MCG/ML VL and verify: (1) the dosage matches what was prescribed, (2) the quantity matches the number of doses actually received, (3) you were not charged for both the drug and an IV administration fee if the drug was given orally, (4) the charge is for the correct formulation (generic vs. brand), and (5) the unit price is not dramatically higher than the NADAC benchmark. If you were an inpatient, drug charges should be bundled into the room rate — separate charges may be an error.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — CYANOCOBALAMIN 1,000 MCG/ML VL billing

Why is CYANOCOBALAMIN 1,000 MCG/ML VL so expensive at the hospital?
Hospitals add facility fees, compounding charges, and administrative overhead to drug costs. The same medication available at a pharmacy for close to the NADAC price of $1.85 may be billed at 3x-10x that amount in a hospital setting.
Can I dispute a CYANOCOBALAMIN 1,000 MCG/ML VL charge on my hospital bill?
Yes. If the charge significantly exceeds the NADAC benchmark or you believe you were billed incorrectly (wrong quantity, duplicate charge, or brand vs. generic error), you can request an itemized bill and dispute specific line items with the hospital billing department.
What is NADAC and why does it matter?
NADAC (National Average Drug Acquisition Cost) is published by CMS and represents the average price pharmacies pay to acquire drugs from wholesalers. It serves as a fair benchmark for drug costs — charges significantly above NADAC may indicate excessive hospital markup.

Data source: National Average Drug Acquisition Cost (NADAC) survey, published by CMS. HCPCS drug pricing codes from Medicare Part B Drug Average Sales Price file.

What NADAC means: The average price pharmacies pay to acquire this drug from wholesalers. Hospital charges for the same drug are typically higher due to facility fees, compounding, and administration costs.

Limitations: NADAC reflects pharmacy acquisition cost, not patient out-of-pocket cost. Insurance copays, formulary tiers, and manufacturer rebates affect what patients actually pay.

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