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
SOMATULINE DEPOT 120 MG/0.5 ML SUBCUTANEOUS SYRINGE
Eureka, IL
See all hospitals reporting HCPCS J1930 →Price type
Carle Eureka Hospital’s median price of $10.2k is 13496% above the median hospital's median price ($75), higher than 84% of the 1,683 hospitals reporting HCPCS J1930. 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 | WellCare medicare advantage hmo case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $49 | $49 | — | — | — | $49 – $49 |
| 5 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $345 | 8% | — | $3.8k – $4.5k |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | $345 | 8% | — | $3.8k – $4.5k |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | $345 | 8% | — | $3.8k – $4.5k |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | $776 | 8% | — | $8.7k – $10.2k |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | $776 | 8% | — | $8.7k – $10.2k |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | $776 | 8% | — | $8.7k – $10.2k |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $9.4k | $9.4k | $776 | 8% | — | $8.7k – $10.2k |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $10.1k | $10.1k | $827 | 8% | — | $9.2k – $10.9k |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $12.9k | $12.9k | $1.1k | 8% | — | $11.9k – $14.0k |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $13.0k | $13.0k | $1.1k | 8% | — | $11.9k – $14.1k |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $13.8k | $13.8k | $1.1k | 8% | — | $12.7k – $15.0k |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $13.8k | $13.8k | $1.1k | 8% | — | $12.7k – $15.0k |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | $1.2k | 8% | — | $12.9k – $15.2k |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $15.7k | $15.7k | $1.3k | 8% | — | $14.4k – $17.0k |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | $1.4k | 8% | — | $16.1k – $19.0k |
Last updated: Apr 15, 2026
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