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
PENMENVY MEN A-B-C-W-Y (PF) 0.5 ML INTRAMUSCULAR KIT
Eureka, IL
See all hospitals reporting CPT 90624 →Price type
Carle Eureka Hospital’s median price of $2.3k is 336% above the median hospital's median price ($526), higher than 99% of the 470 hospitals reporting CPT 90624. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | $765 | $765 | — | — | — | $765 – $765 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $765 | $765 | — | — | — | $765 – $765 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $765 | $765 | — | — | — | $765 – $765 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 10 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 11 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 12 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 13 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 15 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Apr 15, 2026
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