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
CLINIMIX E 5 % IN 20 % DEXTROSE SULFITE FREE INTRAVENOUS SOLUTION
Normal, IL
See all hospitals reporting HCPCS B4189 →Price type
Carle BroMenn Medical Center’s median price of $234 is 9% below the median hospital's median price ($258), higher than 19% of the 588 hospitals reporting HCPCS B4189. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $71 | $90 | $28 | 31% | — | $57 – $129 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $90 | $28 | 31% | — | $57 – $129 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $71 | $90 | $28 | 31% | — | $57 – $129 |
| 4 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $206 | $206 | — | — | — | $206 – $206 |
| 5 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $206 | $206 | — | — | — | $206 – $206 |
| 6 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $212 | $212 | — | — | — | $212 – $212 |
| 7 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 8 | Aetna medicare advantage case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 9 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 10 | Humana medicare advantage case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 11 | Molina medicare-medicaid (d-snp) case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 13 | UnitedHealthcare va ccn/optum case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 14 | WellCare medicare advantage hmo case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $217 | $276 | $87 | 31% | — | $175 – $396 |
| 16 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $217 | $277 | $87 | 31% | — | $175 – $397 |
| 17 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $218 | $278 | $87 | 31% | — | $176 – $398 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $219 | $279 | $87 | 31% | — | $177 – $400 |
| 19 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $219 | $279 | $87 | 31% | — | $177 – $400 |
| 20 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $234 | $298 | $93 | 31% | — | $189 – $426 |
| 21 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $234 | $298 | $93 | 31% | — | $189 – $426 |
| 22 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $265 | $338 | $106 | 31% | — | $214 – $484 |
Last updated: Apr 15, 2026
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