Injection of high-dose aflibercept, per 1 mg at Carle BroMenn Medical Center

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

EYLEA HD 8 MG/0.07 ML INTRAVITREAL SOLUTION FOR INJECTION

Normal, IL

See all hospitals reporting HCPCS J0177 →

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How this price compares nationally

Carle BroMenn Medical Center’s median price of $608 is 60% above the median hospital's median price ($380), higher than 78% of the 1,151 hospitals reporting HCPCS J0177. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0177 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 21 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 medicare advantage case rate · outpatient	$307	$307	—	—	—	$307 – $307
2	Blue Cross Blue Shield medicare advantage case rate · outpatient	$307	$307	—	—	—	$307 – $307
3	Humana medicare advantage case rate · outpatient	$307	$307	—	—	—	$307 – $307
4	Molina medicare-medicaid (d-snp) case rate · outpatient	$307	$307	—	—	—	$307 – $307
5	UnitedHealthcare medicare advantage case rate · outpatient	$307	$307	—	—	—	$307 – $307
6	UnitedHealthcare va ccn/optum case rate · outpatient	$307	$307	—	—	—	$307 – $307
7	WellCare medicare advantage hmo case rate · outpatient	$307	$307	—	—	—	$307 – $307
8	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$342	$342	—	—	—	$342 – $342
9	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
10	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$352	$352	—	—	—	$352 – $352
11	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
12	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$810	$810	—	—	—	$810 – $810
13	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$810	$810	—	—	—	$810 – $810
14	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$810	$810	—	—	—	$810 – $810
15	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
16	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
17	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
18	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
19	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
20	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k

Last updated: Apr 15, 2026

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