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
KINRIX (PF) 25 LF-58 MCG-10 LF/0.5 ML INTRAMUSCULAR SYRINGE
Eureka, IL
See all hospitals reporting CPT 90696 →Price type
Carle Eureka Hospital’s median price of $59 is 42% below the median hospital's median price ($102), higher than 14% of the 1,548 hospitals reporting CPT 90696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $1 | 3% | — | $18 – $19 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $1 | 3% | — | $18 – $19 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $1 | 3% | — | $18 – $19 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $1 | 3% | — | $40 – $43 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $1 | 3% | — | $40 – $43 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $42 | $42 | $1 | 3% | — | $40 – $43 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $45 | $44 | $1 | 3% | — | $43 – $46 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $2 | 3% | — | $55 – $59 |
| 9 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $58 | $57 | $2 | 3% | — | $55 – $59 |
| 10 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $58 | $57 | $2 | 3% | — | $55 – $59 |
| 11 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $62 | $61 | $2 | 3% | — | $59 – $63 |
| 12 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $62 | $61 | $2 | 3% | — | $59 – $63 |
| 13 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $62 | $62 | $2 | 3% | — | $60 – $64 |
| 14 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $65 | $65 | — | — | — | $65 – $65 |
| 15 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 16 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $67 | $67 | — | — | — | $67 – $67 |
| 17 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $70 | $69 | $2 | 3% | — | $67 – $72 |
| 19 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $78 | $78 | $2 | 3% | — | $75 – $80 |
| 20 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $86 | $86 | — | — | — | $86 – $86 |
| 21 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Apr 15, 2026
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