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
PHENTOLAMINE 5 MG INJECTION SOLUTION
Normal, IL
See all hospitals reporting HCPCS J2760 →Price type
Carle BroMenn Medical Center’s median price of $458 is 17% below the median hospital's median price ($549), higher than 36% of the 2,076 hospitals reporting HCPCS J2760. 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, 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 | $421 | $421 | — | — | — | $421 – $421 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 3 | Humana medicare advantage case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 4 | Molina medicare-medicaid (d-snp) case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 6 | UnitedHealthcare va ccn/optum case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 7 | WellCare medicare advantage hmo case rate · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 8 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $459 | $437 | $31 | 7% | — | $393 – $459 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $459 | $437 | $31 | 7% | — | $393 – $459 |
| 10 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $459 | $437 | $31 | 7% | — | $393 – $459 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $444 | $444 | — | — | — | $444 – $444 |
| 12 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $444 | $444 | — | — | — | $444 – $444 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $458 | $458 | — | — | — | $458 – $458 |
| 14 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $458 | $458 | — | — | — | $458 – $458 |
| 15 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.3k | $95 | 7% | — | $1.2k – $1.4k |
| 16 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.3k | $96 | 7% | — | $1.2k – $1.4k |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $96 | 7% | — | $1.2k – $1.4k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $96 | 7% | — | $1.2k – $1.4k |
| 19 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.4k | $102 | 7% | — | $1.3k – $1.5k |
| 20 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.4k | $102 | 7% | — | $1.3k – $1.5k |
| 21 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.6k | $116 | 7% | — | $1.5k – $1.7k |
Last updated: Apr 15, 2026
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