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
SAPHNELO 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS J0491 →Price type
Carle Eureka Hospital’s median price of $15.8k is 59260% above the median hospital's median price ($27), higher than 95% of the 1,568 hospitals reporting HCPCS J0491. 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, 20 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 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $23.5k | $23.5k | — | — | — | $23.5k – $23.5k |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $26.3k | $26.3k | — | — | — | $26.3k – $26.3k |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $29.5k | $29.5k | — | — | — | $29.5k – $29.5k |
Last updated: Apr 15, 2026
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