Phenylephrine and ketorolac eye irrigation solution at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PHENYLEPHRINE-KETOROLAC 1-0.3 % INTRAOCULAR CONC [128666]

Arlington, TX

See all hospitals reporting HCPCS J1097 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $725 is 420% above the median hospital's median price ($140), higher than 90% of the 1,206 hospitals reporting HCPCS J1097. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1097 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 33 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	Blue Cross Blue Shield medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
2	Humana medicare advantage case rate · outpatient	$99	$99	—	—	—	$99 – $99
3	Humana medicare advantage ppo case rate · outpatient	$99	$99	—	—	—	$99 – $99
4	Molina medicare advantage case rate · outpatient	$100	$100	—	—	—	$100 – $100
5	WellCare medicare advantage hmo case rate · outpatient	$100	$100	—	—	—	$100 – $100
6	WellCare medicare advantage mmp case rate · outpatient	$105	$105	—	—	—	$105 – $105
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$106	$106	—	—	—	$106 – $106
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$108	$108	—	—	—	$108 – $108
9	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
10	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
11	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
12	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
13	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
15	Blue Cross Blue Shield exchange fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$265	$265	—	—	—	$265 – $265
17	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$539	$539	—	—	—	$539 – $539
18	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$640	$640	—	—	—	$640 – $640
19	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$718	$718	—	—	—	$718 – $718
20	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$806	$806	—	—	—	$806 – $806
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$853	$853	—	—	—	$853 – $853
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$854	$854	—	—	—	$854 – $854
23	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$861	$861	—	—	—	$861 – $861
24	Blue Cross Blue Shield traditional fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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