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
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLUTION
Eureka, IL
See all hospitals reporting HCPCS J9017 →Price type
Carle Eureka Hospital’s median price of $118 is 360% above the median hospital's median price ($26), higher than 66% of the 1,762 hospitals reporting HCPCS J9017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $638 | $638 | $602 | 94% | — | $36 – $1.2k |
| 6 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $638 | $638 | $602 | 94% | — | $36 – $1.2k |
| 7 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $638 | $638 | $602 | 94% | — | $36 – $1.2k |
| 8 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 94% | — | $80 – $2.8k |
| 9 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 94% | — | $80 – $2.8k |
| 10 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 94% | — | $80 – $2.8k |
| 11 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | $1.4k | 94% | — | $80 – $2.8k |
| 12 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $1.4k | 94% | — | $86 – $3.0k |
| 13 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.9k | 94% | — | $110 – $3.8k |
| 14 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.9k | 94% | — | $111 – $3.8k |
| 15 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $2.0k | 94% | — | $118 – $4.1k |
| 16 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | $2.0k | 94% | — | $118 – $4.1k |
| 17 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | $2.0k | 94% | — | $120 – $4.2k |
| 18 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $2.3k | 94% | — | $134 – $4.6k |
| 19 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $2.5k | 94% | — | $150 – $5.2k |
Last updated: Apr 15, 2026
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