Phenylephrine and ketorolac eye irrigation solution at Carle Eureka Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OMIDRIA 1 %-0.3 % INTRAOCULAR CONCENTRATE

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $255 is 83% above the median hospital's median price ($140), higher than 74% of the 1,206 hospitals reporting HCPCS J1097. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1097 at Carle Eureka Hospital

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	WellCare medicare advantage hmo case rate · outpatient	$102	$102	—	—	—	$102 – $102
2	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$113	$113	—	—	—	$113 – $113
3	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$113	$113	—	—	—	$113 – $113
4	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
5	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
6	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$113	$113	—	—	—	$113 – $113
7	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$117	$117	—	—	—	$117 – $117
8	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
9	UnitedHealthcare va ccn/optum fee schedule · inpatient	$126	$126	—	—	—	$126 – $126
10	UnitedHealthcare va ccn/optum fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$255	$255	—	—	—	$255 – $255
14	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
15	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
16	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$351	$351	—	—	—	$351 – $351
17	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$374	$374	—	—	—	$374 – $374
18	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$374	$374	—	—	—	$374 – $374
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$379	$379	—	—	—	$379 – $379
20	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$425	$425	—	—	—	$425 – $425
21	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476

Last updated: Apr 15, 2026

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