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
MENVEO A-C-Y-W-135-DIP (PF) 10 MCG-5 MCG/0.5 ML IM SOLUTION (1 VIAL)
Eureka, IL
See all hospitals reporting CPT 90734 →Price type
Carle Eureka Hospital’s median price of $159 is 30% below the median hospital's median price ($229), higher than 20% of the 1,912 hospitals reporting CPT 90734. 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 | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 4 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 6 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $156 | $156 | — | — | — | $156 – $156 |
| 9 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 10 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 11 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 13 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $165 | $165 | — | — | — | $165 – $165 |
| 14 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $170 | $170 | — | — | — | $170 – $170 |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 19 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $191 | $191 | — | — | — | $191 – $191 |
| 20 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $214 | $214 | — | — | — | $214 – $214 |
Last updated: Apr 15, 2026
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