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
TRIESENCE (PF) 40 MG/ML INTRAOCULAR SUSPENSION
Eureka, IL
See all hospitals reporting HCPCS J3300 →Price type
Carle Eureka Hospital’s median price of $469 is 1640% above the median hospital's median price ($27), higher than 86% of the 1,480 hospitals reporting HCPCS J3300. 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 | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 8 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 9 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 10 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 11 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 12 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $469 | $469 | — | — | — | $469 – $469 |
| 13 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $500 | $500 | — | — | — | $500 – $500 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $643 | $643 | — | — | — | $643 – $643 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $646 | $646 | — | — | — | $646 – $646 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $699 | $699 | — | — | — | $699 – $699 |
| 19 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $782 | $782 | — | — | — | $782 – $782 |
| 20 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $876 | $876 | — | — | — | $876 – $876 |
Last updated: Apr 15, 2026
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