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
TREMFYA 200 MG/20 ML (10 MG/ML) INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS J1628 →Price type
Carle Eureka Hospital’s median price of $15.9k is 14892% above the median hospital's median price ($106), higher than 91% of the 1,371 hospitals reporting HCPCS J1628. 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, 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 | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $137 | $137 | — | — | — | $137 – $137 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $137 | $137 | — | — | — | $137 – $137 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $6.6k | $10.6k | $5.6k | 53% | — | $6.6k – $18.5k |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.6k | $10.6k | $5.6k | 53% | — | $6.6k – $18.5k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $6.6k | $10.6k | $5.6k | 53% | — | $6.6k – $18.5k |
| 9 | UnitedHealthcare va ccn/optum fee schedule · inpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 10 | UnitedHealthcare va ccn/optum fee schedule · outpatient | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $14.9k | $23.9k | $12.6k | 53% | — | $14.9k – $41.7k |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $14.9k | $23.9k | $12.6k | 53% | — | $14.9k – $41.7k |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $14.9k | $23.9k | $12.6k | 53% | — | $14.9k – $41.7k |
| 14 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $15.9k | $25.5k | $13.4k | 53% | — | $15.9k – $44.5k |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $20.5k | $32.7k | $17.3k | 53% | — | $20.5k – $57.2k |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $20.6k | $32.9k | $17.4k | 53% | — | $20.6k – $57.4k |
| 17 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $22.0k | $35.0k | $18.5k | 53% | — | $22.0k – $61.2k |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $22.0k | $35.0k | $18.5k | 53% | — | $22.0k – $61.2k |
| 19 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $22.3k | $35.5k | $18.8k | 53% | — | $22.3k – $62.1k |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $24.9k | $39.8k | $21.0k | 53% | — | $24.9k – $69.5k |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $27.9k | $44.5k | $23.5k | 53% | — | $27.9k – $77.8k |
Last updated: Apr 15, 2026
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