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
FOLLISTIM AQ 900 UNIT/1.08 ML SUBCUTANEOUS CARTRIDGE
Prices here combine facility and professional fees. See them separately →Experimental
Low
$100
Average
$2.1k
Median
$655
High
$5.8k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 24 hospitals; the 90th percentile is 13.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Hoopeston Community Memorial Hospital Hoopeston, IL | $5.4k | $5.7k | $3.2k | 55% | — | $1.1k – $10.1k |
| 2 | Indiana University Health Ball Memorial Hospital Inc. Muncie, IN | $616 | $602 | $132 | 22% | — | $187 – $792 |
| 3 | Indiana University Health White Memorial Hospital Inc. Monticello, IN | $555 | $572 | $129 | 23% | — | $274 – $810 |
| 4 | Methodist Medical Center of Illinois Peoria, IL | $4.4k | $4.6k | $1.4k | 31% | — | $2.3k – $7.6k |
| 5 | Carle Eureka Hospital Eureka, IL | $6.8k | $5.8k | $2.3k | 40% | — | $1.1k – $9.5k |
| 6 | Richland Memorial Hospital Inc Olney, IL | $5.4k | $5.3k | $2.8k | 52% | — | $2.4k – $9.8k |
| 7 | University Hospitals Health System Cleveland, OH | $776 | $776 | — | — | — | $776 – $776 |
| 8 | Pekin Memorial Hospital Pekin, IL | $4.4k | $4.5k | $1.4k | 31% | — | $2.8k – $7.6k |
| 9 | Indiana University Health Frankfort Inc. Frankfort, IN | $547 | $574 | $119 | 21% | — | $355 – $810 |
| 10 | Carle BroMenn Medical Center Normal, IL | $6.9k | $5.2k | $2.7k | 51% | — | $1.1k – $8.5k |
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