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
Monroe, LA
See all hospitals reporting HCPCS J1097 →Price type
Brfhh Monroe, Llc’s median price of $258 is 85% above the median hospital's median price ($140), higher than 74% of the 1,203 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, 17 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 | UnitedHealthcare all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Bcbs La all payor fee schedule · outpatient | $127 | $121 | $12 | 10% | — | $97 – $127 |
| 6 | Humana all payor other · outpatient | $183 | $183 | $89 | 49% | — | $94 – $272 |
| 7 | Aetna Better Health all payor other · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 8 | Amerihealth Caritas all payor other · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 9 | UnitedHealthcare all payor other · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 10 | UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges | $544 | $544 | $51 | 9% | — | $493 – $595 |
| 11 | Cigna all payor other · outpatient | $727 | $727 | — | — | — | $727 – $727 |
| 12 | Cigna all payor other · inpatient | $850 | $850 | — | — | — | $850 – $850 |
| 13 | Aetna all payor other · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | First Health all payor other · inpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Aetna all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | First Health all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | MultiPlan all payor other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
Last updated: Apr 1, 2026
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