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
PHENYLEPHRINE-KETOROLAC 1-0.3 % IO CONC
Crowley, LA
See all hospitals reporting HCPCS J1097 →Price type
Acadia General Hospital, Inc’s median price of $97 is 30% below the median hospital's median price ($140), higher than 12% of the 1,206 hospitals reporting HCPCS J1097. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Humana all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Optum all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 4 | Tricare all payor other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 5 | UnitedHealthcare all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 6 | WellCare all payor fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 7 | Bcbs La all payor fee schedule · outpatient | $127 | $120 | $13 | 11% | — | $97 – $127 |
| 8 | Aetna Better Health all payor other · outpatient | $167 | $167 | $166 | 99% | — | $1 – $333 |
| 9 | Amerihealth Caritas all payor other · outpatient | $167 | $167 | $166 | 99% | — | $1 – $333 |
| 10 | Humana all payor other · outpatient | $167 | $167 | $166 | 99% | — | $1 – $333 |
| 11 | UnitedHealthcare all payor other · outpatient | $167 | $167 | $166 | 99% | — | $1 – $333 |
| 12 | Aetna all payor other · inpatient | $767 | $767 | $763 | 99% | — | $4 – $1.5k |
| 13 | Aetna all payor other · outpatient | $767 | $767 | $763 | 99% | — | $4 – $1.5k |
| 14 | Cigna all payor other · outpatient | $823 | $823 | $818 | 99% | — | $5 – $1.6k |
Last updated: Apr 1, 2026
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